- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $30.45 / $69.66
| Facility | | $7.12 | $30.45 | $69.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.88 / $60.70
| Professional | | $5.00 | $7.88 | $60.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $22.77 / $293.00
| Facility | | $10.34 | $22.77 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.57 / $17.32
| Professional | | $4.66 | $5.57 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $56.30 / $97.40
| Facility | | $18.62 | $56.30 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.18 / $5.97 / $45.31
| Professional | | $4.18 | $5.97 | $45.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $12.40 / $32.59
| Facility | | $6.14 | $12.40 | $32.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $11.08 / $14.45
| Professional | | $4.99 | $11.08 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $9.44 / $15.10
| Professional | | $7.34 | $9.44 | $15.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $9.44 / $20.77
| Professional | | $7.55 | $9.44 | $20.77 |
- 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
- $4.72 / $4.72 / $4.72
| Professional | | $4.72 | $4.72 | $4.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.25 / $10.24 / $24.56
| Facility | | $6.25 | $10.24 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $8.72 / $14.52
| Professional | | $4.99 | $8.72 | $14.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.13 / $33.13 / $33.13
| Professional | | $33.13 | $33.13 | $33.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $9.44 / $13.22
| Professional | | $7.55 | $9.44 | $13.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $4.12 / $17.14
| Professional | | $3.96 | $4.12 | $17.14 |