- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $17.01 / $55.51
| Facility | | $3.14 | $17.01 | $55.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.00 / $4.63
| Professional | | $1.91 | $2.00 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $5.75 / $60.00
| Facility | | $2.04 | $5.75 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.25 / $5.48
| Professional | | $1.35 | $2.25 | $5.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $6.55 / $11.45
| Facility | | $4.11 | $6.55 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $2.12 / $2.23
| Professional | | $2.12 | $2.12 | $2.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.57 / $3.32 / $7.69
| Facility | | $1.57 | $3.32 | $7.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $2.48 / $3.70
| Professional | | $1.46 | $2.48 | $3.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.68 / $16.61 / $8,090.00
| Facility | | $2.68 | $16.61 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.96 / $3.84
| Professional | | $2.29 | $2.96 | $3.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.12 / $8.92
| Professional | | $2.25 | $3.12 | $8.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $3.04 / $30.45
| Facility | | $2.64 | $3.04 | $30.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $60.00 / $60.00
| Facility | | $5.75 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $2.25 / $4.74
| Professional | | $1.25 | $2.25 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.18 / $2.54 / $4.99
| Facility | | $2.18 | $2.54 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.29 / $2.83
| Professional | | $1.98 | $2.29 | $2.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $2.25 / $4.03
| Professional | | $1.25 | $2.25 | $4.03 |