- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $45.71 / $100.00
| Facility | | $3.72 | $45.71 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.00 / $5.37
| Professional | | $1.00 | $2.00 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.35 / $44.67
| Professional | | $1.07 | $1.35 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $5.75 / $12.02
| Facility | | $1.51 | $5.75 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.66 / $5.50
| Professional | | $1.45 | $1.66 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $3.72 / $44.67
| Facility | | $1.82 | $3.72 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.24 / $3.80
| Professional | | $1.58 | $2.24 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $2.24
| Facility | | $2.24 | $2.24 | $2.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $4.79 / $12.88
| Facility | | $2.19 | $4.79 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.45 / $4.07
| Professional | | $1.41 | $2.45 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.88 / $4.07
| Professional | | $1.95 | $2.88 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $18.62 / $93.33
| Facility | | $1.95 | $18.62 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.09 / $5.37
| Professional | | $1.00 | $2.09 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $1.91 / $1.91
| Professional | | $1.70 | $1.91 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $2.24 / $6.61
| Facility | | $1.82 | $2.24 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.34 / $4.07
| Professional | | $1.41 | $2.34 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.81 / $1.35 / $2.24
| Facility | | $0.81 | $1.35 | $2.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.82 / $2.34
| Professional | | $1.35 | $1.82 | $2.34 |