- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $19.78 / $92.70
| Facility | | $3.31 | $19.78 | $92.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $3.70 / $4.79
| Professional | | $2.23 | $3.70 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.18 / $4.34
| Professional | | $1.40 | $2.18 | $4.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $13.92 / $26.06
| Facility | | $5.65 | $13.92 | $26.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.26 / $5.50
| Professional | | $2.31 | $4.26 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $6.74 / $26.05
| Facility | | $4.13 | $6.74 | $26.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $4.00 / $6.53
| Professional | | $3.26 | $4.00 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $4.30 / $4.34
| Facility | | $4.30 | $4.30 | $4.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $9.57 / $22.49
| Facility | | $3.04 | $9.57 | $22.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.90 / $9.21
| Professional | | $2.31 | $4.90 | $9.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $4.34 / $6.69
| Facility | | $3.48 | $4.34 | $6.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $4.34 / $5.67
| Professional | | $3.92 | $4.34 | $5.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $4.34 / $10.86
| Facility | | $3.49 | $4.34 | $10.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.34 / $6.28
| Professional | | $2.31 | $4.34 | $6.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $2.49 / $3.60
| Professional | | $1.83 | $2.49 | $3.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.15 / $4.34
| Professional | | $2.15 | $2.15 | $4.34 |