- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $20.17 / $58.27
| Facility | | $4.13 | $20.17 | $58.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.69 / $7.93
| Professional | | $4.40 | $4.69 | $7.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $3.47 / $3.47
| Professional | | $2.89 | $3.47 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.33 / $13.94 / $293.00
| Facility | | $6.33 | $13.94 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $4.08 / $12.04
| Professional | | $2.56 | $4.08 | $12.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $45.69 / $91.03
| Facility | | $13.06 | $45.69 | $91.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $4.58 / $27.74
| Professional | | $3.21 | $4.58 | $27.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.76 / $7.60 / $18.97
| Facility | | $3.76 | $7.60 | $18.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $6.61 / $10.24
| Professional | | $3.40 | $6.61 | $10.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.78 / $9.25
| Professional | | $4.62 | $5.78 | $9.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.78 / $13.10
| Professional | | $4.62 | $5.78 | $13.10 |
- 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
- $3.47 / $3.47 / $3.47
| Professional | | $3.47 | $3.47 | $3.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $6.59 / $16.47
| Facility | | $4.29 | $6.59 | $16.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $5.78 / $11.26
| Professional | | $3.79 | $5.78 | $11.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.28 / $20.28 / $20.28
| Professional | | $20.28 | $20.28 | $20.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.78 / $8.09
| Professional | | $4.62 | $5.78 | $8.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.08 / $10.30
| Professional | | $2.43 | $3.08 | $10.30 |