- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $26.30 / $51.29
| Facility | | $9.55 | $26.30 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $30.20
| Professional | | $3.02 | $3.98 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $10.72 / $22.91
| Facility | | $2.63 | $10.72 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.89 / $12.88
| Professional | | $2.24 | $3.89 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $34.67 / $64.57
| Facility | | $10.23 | $34.67 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.25 / $13.18
| Professional | | $3.63 | $5.25 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $7.59 / $16.60
| Facility | | $3.02 | $7.59 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.57 / $7.41
| Professional | | $2.69 | $4.57 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.57 / $7.24
| Professional | | $4.07 | $4.57 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.57 / $10.23
| Professional | | $3.63 | $4.57 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $100.00
| Facility | | $70.79 | $70.79 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $4.57 / $4.57
| Professional | | $2.29 | $4.57 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $5.50 / $13.49
| Facility | | $3.63 | $5.50 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.17 / $10.47
| Professional | | $2.69 | $4.17 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Professional | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.68 / $7.76
| Professional | | $3.63 | $4.68 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.75 / $4.57
| Facility | | $2.04 | $2.75 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.75 / $9.12
| Professional | | $1.91 | $2.75 | $9.12 |