- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $11.09 / $38.56
| Facility | | $4.48 | $11.09 | $38.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $2.72 / $4.00
| Professional | | $2.61 | $2.72 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $9.34 / $60.00
| Facility | | $2.74 | $9.34 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.64 / $8.86
| Professional | | $2.10 | $3.64 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $8.19 / $14.33
| Facility | | $5.15 | $8.19 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $3.42 / $3.84
| Professional | | $3.42 | $3.42 | $3.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $4.71 / $10.25
| Facility | | $2.54 | $4.71 | $10.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.31 / $5.68
| Professional | | $2.17 | $3.31 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $3,472.00 / $9,239.00
| Facility | | $9.64 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $5.14 / $6.05
| Professional | | $5.14 | $5.14 | $6.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $5.04 / $11.83
| Professional | | $3.64 | $5.04 | $11.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.86 / $4.25 / $8.19
| Facility | | $3.86 | $4.25 | $8.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.53 / $60.00 / $60.00
| Facility | | $16.53 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $2.18 / $6.33
| Professional | | $1.49 | $2.18 | $6.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.40 / $3.94
| Professional | | $3.06 | $3.40 | $3.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $3.64 / $4.37
| Facility | | $3.28 | $3.64 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $2.18 / $6.33
| Professional | | $1.53 | $2.18 | $6.33 |