- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $15.56 / $36.46
| Facility | | $3.80 | $15.56 | $36.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $3.89 / $12.58
| Professional | | $3.10 | $3.89 | $12.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $12.83 / $293.00
| Facility | | $5.83 | $12.83 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.19 / $8.51
| Professional | | $2.13 | $3.19 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.68 / $28.69 / $58.75
| Facility | | $8.68 | $28.69 | $58.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.88 / $6.41
| Professional | | $2.02 | $2.88 | $6.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $6.99 / $17.16
| Facility | | $3.46 | $6.99 | $17.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $5.78 / $8.26
| Professional | | $2.40 | $5.78 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $4.25 / $8.51
| Professional | | $2.83 | $4.25 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.32 / $11.60
| Professional | | $4.26 | $5.32 | $11.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $80.00
| Facility | | $60.00 | $60.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $5.23 / $12.36
| Facility | | $3.46 | $5.23 | $12.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.88 / $6.74
| Professional | | $2.50 | $4.88 | $6.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $18.67
| Professional | | $18.67 | $18.67 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.26 / $5.32
| Professional | | $2.89 | $4.26 | $5.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.19 / $7.33
| Professional | | $2.72 | $3.19 | $7.33 |