- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.81 / $26.32 / $72.34
| Facility | | $5.81 | $26.32 | $72.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $6.58 / $72.34
| Professional | | $4.08 | $6.58 | $72.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $27.14 / $293.00
| Facility | | $12.33 | $27.14 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $4.58 / $14.87
| Professional | | $4.33 | $4.58 | $14.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.19 / $48.83 / $92.60
| Facility | | $15.19 | $48.83 | $92.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $4.87 / $54.00
| Professional | | $3.41 | $4.87 | $54.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.25 / $14.77 / $37.65
| Facility | | $6.25 | $14.77 | $37.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $11.97 / $17.04
| Professional | | $4.05 | $11.97 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $11.25 / $18.00
| Professional | | $5.98 | $11.25 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.25 / $23.00
| Professional | | $9.00 | $11.25 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $5.62
| Professional | | $5.62 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $10.69 / $25.10
| Facility | | $6.07 | $10.69 | $25.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $7.56 / $13.50
| Professional | | $4.05 | $7.56 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.47 / $39.47 / $39.47
| Professional | | $39.47 | $39.47 | $39.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.13 / $15.28
| Professional | | $9.00 | $11.13 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.73 / $18.97
| Professional | | $3.23 | $4.73 | $18.97 |