- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $15.59 / $25.54
| Facility | | $5.72 | $15.59 | $25.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.72 / $10.27
| Professional | | $5.25 | $5.72 | $10.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $16.72 / $215.00
| Facility | | $5.48 | $16.72 | $215.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $6.01 / $14.64
| Professional | | $3.61 | $6.01 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $17.20 / $30.08
| Facility | | $10.80 | $17.20 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $5.65 / $7.68
| Professional | | $5.65 | $5.65 | $7.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $8.93 / $20.50
| Facility | | $4.20 | $8.93 | $20.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $6.64 / $9.94
| Professional | | $3.54 | $6.64 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.58 / $3,472.00 / $9,239.00
| Facility | | $29.58 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $10.43
| Professional | | $8.86 | $8.86 | $10.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.33 / $22.34
| Professional | | $6.01 | $8.33 | $22.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $7.83 / $7.83
| Facility | | $7.83 | $7.83 | $7.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.45 / $215.00 / $215.00
| Facility | | $23.45 | $215.00 | $215.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.01 / $12.68
| Professional | | $2.88 | $4.01 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $6.01 / $7.21
| Facility | | $5.41 | $6.01 | $7.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.63 / $10.75
| Professional | | $2.52 | $4.63 | $10.75 |