- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.32 / $20.12 / $98.10
| Facility | | $4.32 | $20.12 | $98.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $8.64 / $11.61
| Professional | | $7.28 | $8.64 | $11.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $5.83 / $7.44
| Professional | | $4.86 | $5.83 | $7.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $23.42 / $293.00
| Facility | | $10.64 | $23.42 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $7.65 / $23.04
| Professional | | $4.80 | $7.65 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.15 / $70.11 / $126.11
| Facility | | $25.15 | $70.11 | $126.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.59 / $46.61
| Professional | | $6.01 | $8.59 | $46.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.71 / $12.75 / $32.50
| Facility | | $6.71 | $12.75 | $32.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.80 / $17.47
| Professional | | $6.37 | $11.80 | $17.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $9.71 / $15.54
| Professional | | $8.63 | $9.71 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $9.71 / $22.00
| Professional | | $7.77 | $9.71 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $5.82 / $5.82
| Professional | | $5.82 | $5.82 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $11.61 / $29.90
| Facility | | $8.03 | $11.61 | $29.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $9.71 / $19.42
| Professional | | $6.49 | $9.71 | $19.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.08 / $34.08 / $34.08
| Professional | | $34.08 | $34.08 | $34.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $9.71 / $13.59
| Professional | | $7.77 | $9.71 | $13.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.83 / $18.64
| Professional | | $4.08 | $5.83 | $18.64 |