- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $31.03 / $70.98
| Facility | | $7.25 | $31.03 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.22 / $60.12
| Professional | | $6.22 | $8.22 | $60.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $22.55 / $293.00
| Facility | | $10.24 | $22.55 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $5.60 / $17.97
| Professional | | $3.74 | $5.60 | $17.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.97 / $57.47 / $97.40
| Facility | | $18.97 | $57.47 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $6.08 / $44.88
| Professional | | $4.26 | $6.08 | $44.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $12.28 / $30.61
| Facility | | $6.08 | $12.28 | $30.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.74 / $14.45
| Professional | | $5.01 | $10.74 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $9.35 / $14.96
| Professional | | $7.48 | $9.35 | $14.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $9.35 / $21.51
| Professional | | $7.48 | $9.35 | $21.51 |
- 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
- $4.67 / $4.67 / $4.67
| Professional | | $4.67 | $4.67 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.51 / $10.37 / $26.88
| Facility | | $6.51 | $10.37 | $26.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $8.88 / $15.02
| Professional | | $5.13 | $8.88 | $15.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.81 / $32.81 / $32.81
| Professional | | $32.81 | $32.81 | $32.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $9.35 / $13.09
| Professional | | $7.48 | $9.35 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.13 / $14.47
| Professional | | $3.93 | $4.13 | $14.47 |