- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $23.84 / $63.63
| Facility | | $7.88 | $23.84 | $63.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.38 / $5.01
| Professional | | $3.71 | $4.38 | $5.01 |
- 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 / $6.28 / $6.28
| Professional | | $4.97 | $6.28 | $6.28 |
- 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 / $5.55 / $8.78
| Professional | | $3.12 | $5.55 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.87 / $3,472.00 / $9,239.00
| Facility | | $22.87 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $8.77
| Professional | | $7.47 | $7.47 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.96 / $18.66
| Professional | | $5.01 | $6.96 | $18.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $6.54 / $49.25
| Facility | | $5.86 | $6.54 | $49.25 |
- 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
- $4.86 / $6.00 / $11.17
| Facility | | $4.86 | $6.00 | $11.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $5.18 / $6.35
| Professional | | $4.65 | $5.18 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.01 / $11.95
| Professional | | $2.10 | $3.01 | $11.95 |