- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $24.25 / $75.66
| Facility | | $5.72 | $24.25 | $75.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $4.50 / $18.23
| Professional | | $2.23 | $4.50 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.42 / $6.64 / $60.00
| Facility | | $2.42 | $6.64 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $3.28 / $7.36
| Professional | | $1.57 | $3.28 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $7.38 / $12.90
| Facility | | $4.63 | $7.38 | $12.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.08 / $3.25
| Professional | | $3.00 | $3.08 | $3.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.22 / $4.00 / $7.99
| Facility | | $2.22 | $4.00 | $7.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.63 / $3.63 / $5.16
| Professional | | $1.63 | $3.63 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $3,472.00 / $9,239.00
| Facility | | $9.14 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $4.66 / $5.49
| Professional | | $4.66 | $4.66 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $4.55 / $10.56
| Professional | | $3.28 | $4.55 | $10.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $8.78 / $48.71
| Facility | | $3.83 | $8.78 | $48.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.64 / $60.00 / $60.00
| Facility | | $6.64 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $3.27 / $4.94
| Professional | | $1.05 | $3.27 | $4.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $3.67 / $7.30
| Facility | | $2.64 | $3.67 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $3.28 / $4.94
| Professional | | $1.05 | $3.28 | $4.94 |