- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.54 / $26.73 / $69.58
| Facility | | $5.54 | $26.73 | $69.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.30 / $14.46
| Professional | | $4.04 | $4.30 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $2.78 / $2.78
| Professional | | $2.78 | $2.78 | $2.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.09 / $13.41 / $293.00
| Facility | | $6.09 | $13.41 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.74 / $11.39
| Professional | | $2.34 | $3.74 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $42.16 / $82.93
| Facility | | $12.57 | $42.16 | $82.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.21 / $26.69
| Professional | | $2.95 | $4.21 | $26.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $7.29 / $18.18
| Facility | | $3.61 | $7.29 | $18.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $6.20 / $9.64
| Professional | | $3.18 | $6.20 | $9.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.56 / $8.90
| Professional | | $3.31 | $5.56 | $8.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $5.56 / $12.60
| Professional | | $4.45 | $5.56 | $12.60 |
- 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
- $3.33 / $3.33 / $3.33
| Professional | | $3.33 | $3.33 | $3.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $6.21 / $15.93
| Facility | | $4.17 | $6.21 | $15.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.49 / $5.56 / $10.37
| Professional | | $3.49 | $5.56 | $10.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.51 / $19.51 / $19.51
| Professional | | $19.51 | $19.51 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $5.56 / $7.78
| Professional | | $4.45 | $5.56 | $7.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.86 / $9.44
| Professional | | $2.34 | $2.86 | $9.44 |