- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $16.64 / $38.10
| Facility | | $3.89 | $16.64 | $38.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $4.30 / $30.22
| Professional | | $2.14 | $4.30 | $30.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $11.34 / $293.00
| Facility | | $5.15 | $11.34 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.90 / $9.36
| Professional | | $1.88 | $2.90 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $32.54 / $64.40
| Facility | | $9.84 | $32.54 | $64.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.26 / $22.56
| Professional | | $2.27 | $3.26 | $22.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $6.09 / $15.41
| Facility | | $3.06 | $6.09 | $15.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $5.78 / $7.83
| Professional | | $2.71 | $5.78 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $5.17 / $99.00
| Professional | | $4.70 | $5.17 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $4.70 / $10.81
| Professional | | $3.76 | $4.70 | $10.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.35 / $2.35
| Professional | | $2.35 | $2.35 | $2.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $4.82 / $11.86
| Facility | | $3.29 | $4.82 | $11.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.70 / $8.05
| Professional | | $2.75 | $4.70 | $8.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.48 / $16.48 / $16.48
| Professional | | $16.48 | $16.48 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.13 / $7.93
| Professional | | $2.82 | $3.13 | $7.93 |