- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $66.34 / $114.00
| Facility | | $12.53 | $66.34 | $114.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $5.26 / $8.39
| Professional | | $2.36 | $5.26 | $8.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $3.62 / $4.62
| Professional | | $2.78 | $3.62 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $14.57 / $293.00
| Facility | | $6.62 | $14.57 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $4.75 / $12.32
| Professional | | $2.98 | $4.75 | $12.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $53.00 / $96.05
| Facility | | $15.39 | $53.00 | $96.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $5.34 / $28.99
| Professional | | $3.74 | $5.34 | $28.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.18 / $7.94 / $20.23
| Facility | | $4.18 | $7.94 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $7.34 / $9.86
| Professional | | $3.94 | $7.34 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.04 / $9.66
| Professional | | $5.37 | $6.04 | $9.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $6.04 / $13.17
| Professional | | $4.83 | $6.04 | $13.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.39 / $11.44
| Professional | | $5.44 | $7.39 | $11.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $3.62 / $3.62
| Professional | | $3.62 | $3.62 | $3.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $7.00 / $17.23
| Facility | | $5.00 | $7.00 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $6.37 / $12.08
| Professional | | $4.03 | $6.37 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.20 / $21.20 / $21.20
| Professional | | $21.20 | $21.20 | $21.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $6.04 / $8.46
| Professional | | $4.83 | $6.04 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.62 / $11.66
| Professional | | $2.54 | $3.62 | $11.66 |