- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $30.54 / $64.16
| Facility | | $8.42 | $30.54 | $64.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.54 / $6.02
| Professional | | $4.37 | $4.54 | $6.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $8.73 / $60.00
| Facility | | $4.57 | $8.73 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $5.01 / $12.23
| Professional | | $2.41 | $5.01 | $12.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $13.93 / $24.35
| Facility | | $8.75 | $13.93 | $24.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $6.42 / $6.42
| Professional | | $4.97 | $6.42 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $7.45 / $17.17
| Facility | | $3.51 | $7.45 | $17.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.78 / $8.78
| Professional | | $3.12 | $5.78 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $30.11 / $6,679.00
| Facility | | $5.97 | $30.11 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.12 / $6.61 / $8.77
| Professional | | $5.12 | $6.61 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.96 / $19.93
| Professional | | $5.01 | $6.96 | $19.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $6.54 / $70.55
| Facility | | $5.86 | $6.54 | $70.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.73 / $60.00 / $60.00
| Facility | | $8.73 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.01 / $10.59
| Professional | | $2.10 | $3.01 | $10.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.12 / $5.64 / $8.18
| Facility | | $5.12 | $5.64 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $5.18 / $6.35
| Professional | | $4.87 | $5.18 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.01 / $10.59
| Professional | | $2.10 | $3.01 | $10.59 |