- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $27.67 / $73.44
| Facility | | $4.34 | $27.67 | $73.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.77 / $3.66
| Professional | | $2.35 | $2.77 | $3.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.90 / $7.52 / $60.00
| Facility | | $2.90 | $7.52 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.17 / $7.72
| Professional | | $2.13 | $3.17 | $7.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $9.01 / $15.75
| Facility | | $5.66 | $9.01 | $15.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $2.98 / $3.97
| Professional | | $2.98 | $2.98 | $3.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.21 / $4.71 / $10.82
| Facility | | $2.21 | $4.71 | $10.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.72 / $5.55
| Professional | | $1.87 | $3.72 | $5.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $3,472.00 / $9,239.00
| Facility | | $14.46 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $4.66 / $5.49
| Professional | | $4.66 | $4.66 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $4.38 / $11.79
| Professional | | $3.17 | $4.38 | $11.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $4.13 / $58.72
| Facility | | $3.70 | $4.13 | $58.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.52 / $60.00 / $60.00
| Facility | | $7.52 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $3.17 / $6.68
| Professional | | $1.90 | $3.17 | $6.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $3.79 / $7.04
| Facility | | $2.94 | $3.79 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $3.24 / $4.01
| Professional | | $2.80 | $3.24 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $3.17 / $5.68
| Professional | | $1.90 | $3.17 | $5.68 |