- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $17.50 / $109.04
| Facility | | $4.25 | $17.50 | $109.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $4.36 / $4.44
| Professional | | $3.95 | $4.36 | $4.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.66 / $32.02 / $8,639.91
| Facility | | $24.66 | $32.02 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $3.90 / $3.90
| Professional | | $3.90 | $3.90 | $3.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $6.66 / $16.30
| Facility | | $3.29 | $6.66 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $4.00 / $6.77
| Professional | | $2.29 | $4.00 | $6.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $17.55 / $42.00
| Facility | | $8.89 | $17.55 | $42.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.50 / $4.50
| Professional | | $4.50 | $4.50 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $13.93 / $133.44
| Facility | | $4.25 | $13.93 | $133.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.44 / $20.65
| Professional | | $3.75 | $4.44 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $7.43 / $16.30
| Facility | | $3.35 | $7.43 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $5.00 / $5.00
| Facility | | $5.00 | $5.00 | $5.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.00 / $6.96
| Professional | | $4.40 | $5.00 | $6.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.50 / $3.35
| Facility | | $2.00 | $2.50 | $3.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.00 / $8.69
| Professional | | $2.10 | $3.00 | $8.69 |