- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $9.77 / $21.88
| Facility | | $4.27 | $9.77 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $3.98 / $9.77
| Professional | | $1.00 | $3.98 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $12.88
| Facility | | $5.01 | $5.01 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $7.94
| Professional | | $2.40 | $2.40 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $5.01 / $5.01
| Facility | | $3.02 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.01 / $5.01
| Professional | | $3.63 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $10.72 / $26.30
| Facility | | $3.80 | $10.72 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $7.24 / $33.88
| Professional | | $3.16 | $7.24 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.46 / $13.80
| Facility | | $3.98 | $6.46 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.47 / $9.77
| Professional | | $2.34 | $3.47 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $5.01 / $6.46
| Professional | | $4.27 | $5.01 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $22.91
| Facility | | $5.37 | $5.37 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $9.33 / $50,118.72
| Facility | | $5.75 | $9.33 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $6.03
| Facility | | $3.02 | $4.47 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.75 / $7.59
| Professional | | $2.04 | $2.75 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $5.01 / $12.30
| Facility | | $4.27 | $5.01 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $5.25 / $16.98
| Professional | | $4.27 | $5.25 | $16.98 |