- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $25.73 / $90.62
| Facility | | $8.91 | $25.73 | $90.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $7.53 / $10.10
| Professional | | $5.61 | $7.53 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.25 / $20.36 / $293.00
| Facility | | $9.25 | $20.36 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $6.66 / $19.68
| Professional | | $4.17 | $6.66 | $19.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.86 / $65.02 / $111.04
| Facility | | $21.86 | $65.02 | $111.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $7.48 / $40.51
| Professional | | $5.24 | $7.48 | $40.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $11.09 / $28.27
| Facility | | $5.84 | $11.09 | $28.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $10.21 / $15.06
| Professional | | $5.52 | $10.21 | $15.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $8.44 / $13.50
| Professional | | $7.50 | $8.44 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $8.44 / $18.82
| Professional | | $6.75 | $8.44 | $18.82 |
- 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
- $5.06 / $5.06 / $5.06
| Professional | | $5.06 | $5.06 | $5.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $10.11 / $25.50
| Facility | | $7.00 | $10.11 | $25.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $8.44 / $16.88
| Professional | | $5.56 | $8.44 | $16.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.62 / $29.62 / $29.62
| Professional | | $29.62 | $29.62 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $8.44 / $11.82
| Professional | | $6.75 | $8.44 | $11.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.01 / $16.21
| Professional | | $3.54 | $5.01 | $16.21 |