- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.01 / $103.68 / $257.92
| Facility | | $7.01 | $103.68 | $257.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.60 / $8.11
| Professional | | $3.72 | $5.60 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.21 / $4.87
| Professional | | $2.33 | $4.21 | $4.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $19.55 / $40.11
| Facility | | $4.91 | $19.55 | $40.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.00 / $5.50
| Professional | | $3.86 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $10.52 / $87.60
| Facility | | $6.48 | $10.52 | $87.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.16 / $11.92
| Professional | | $5.26 | $7.16 | $11.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.01 / $7.01 / $7.01
| Facility | | $7.01 | $7.01 | $7.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $15.41 / $35.71
| Facility | | $4.90 | $15.41 | $35.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.45 / $14.83
| Professional | | $3.72 | $5.45 | $14.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $7.01 / $12.83
| Facility | | $5.59 | $7.01 | $12.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.01 / $9.73
| Professional | | $6.31 | $7.01 | $9.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $7.01 / $17.48
| Facility | | $5.59 | $7.01 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.88 / $10.14
| Professional | | $3.72 | $5.88 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.01 / $5.73
| Professional | | $2.94 | $4.01 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.46 / $7.01
| Professional | | $3.46 | $3.46 | $7.01 |