- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $21.31 / $59.06
| Facility | | $5.03 | $21.31 | $59.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.21 / $3.67
| Professional | | $3.07 | $3.21 | $3.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $7.95 / $80.00
| Facility | | $3.35 | $7.95 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.67 / $8.94
| Professional | | $2.10 | $3.67 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $10.65 / $18.63
| Facility | | $6.69 | $10.65 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.45 / $4.69
| Professional | | $3.45 | $3.45 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $5.53 / $12.54
| Facility | | $2.56 | $5.53 | $12.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $4.13 / $6.33
| Professional | | $2.16 | $4.13 | $6.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.25 / $3,472.00 / $9,239.00
| Facility | | $16.25 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $5.14 / $6.05
| Professional | | $5.14 | $5.14 | $6.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $5.09 / $13.63
| Professional | | $3.67 | $5.09 | $13.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $4.84 / $43.05
| Facility | | $4.30 | $4.84 | $43.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $80.00 / $80.00
| Facility | | $7.95 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.20 / $7.74
| Professional | | $1.65 | $2.20 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $4.40 / $8.16
| Facility | | $3.56 | $4.40 | $8.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.77 / $4.62
| Professional | | $3.24 | $3.77 | $4.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.20 / $7.00
| Professional | | $1.65 | $2.20 | $7.00 |