- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $39.43 / $123.00
| Facility | | $5.82 | $39.43 | $123.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.41 / $8.82
| Professional | | $4.13 | $4.41 | $8.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.04 / $3.38
| Professional | | $2.52 | $3.04 | $3.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.54 / $12.20 / $293.00
| Facility | | $5.54 | $12.20 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.83 / $11.34
| Professional | | $2.40 | $3.83 | $11.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.26 / $43.12 / $84.81
| Facility | | $12.26 | $43.12 | $84.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.30 / $24.29
| Professional | | $3.02 | $4.30 | $24.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.37 / $6.65 / $16.94
| Facility | | $3.37 | $6.65 | $16.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $6.06 / $9.03
| Professional | | $3.18 | $6.06 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $5.05 / $8.10
| Professional | | $4.32 | $5.05 | $8.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.05 / $11.47
| Professional | | $4.05 | $5.05 | $11.47 |
- 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
- $3.03 / $3.03 / $3.03
| Professional | | $3.03 | $3.03 | $3.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $5.86 / $13.90
| Facility | | $4.04 | $5.86 | $13.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $5.05 / $10.11
| Professional | | $3.48 | $5.05 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.76 / $17.76 / $17.76
| Professional | | $17.76 | $17.76 | $17.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.05 / $7.08
| Professional | | $4.05 | $5.05 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.89 / $9.72
| Professional | | $2.13 | $2.89 | $9.72 |