- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.97 / $18.00 / $42.16
| Facility | | $3.97 | $18.00 | $42.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $4.38 / $32.99
| Professional | | $2.80 | $4.38 | $32.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $12.37 / $293.00
| Facility | | $5.62 | $12.37 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.04 / $9.63
| Professional | | $2.04 | $3.04 | $9.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $33.18 / $65.56
| Facility | | $10.02 | $33.18 | $65.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.33 / $24.62
| Professional | | $2.33 | $3.33 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $6.73 / $17.14
| Facility | | $3.33 | $6.73 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $5.78 / $7.75
| Professional | | $2.72 | $5.78 | $7.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.13 / $8.21
| Professional | | $4.09 | $5.13 | $8.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.13 / $11.29
| Professional | | $4.09 | $5.13 | $11.29 |
- 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
- $2.56 / $2.56 / $2.56
| Professional | | $2.56 | $2.56 | $2.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $5.19 / $12.36
| Facility | | $3.50 | $5.19 | $12.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.46 / $8.05
| Professional | | $2.89 | $4.46 | $8.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Professional | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.13 / $7.18
| Professional | | $4.09 | $5.13 | $7.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.25 / $7.58
| Professional | | $2.15 | $2.25 | $7.58 |