- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.30 / $22.68 / $51.89
| Facility | | $5.30 | $22.68 | $51.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $5.87 / $38.90
| Professional | | $3.25 | $5.87 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.63 / $14.59 / $293.00
| Facility | | $6.63 | $14.59 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.99 / $12.58
| Professional | | $2.48 | $3.99 | $12.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $44.79 / $89.10
| Facility | | $13.41 | $44.79 | $89.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.45 / $29.04
| Professional | | $3.12 | $4.45 | $29.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $7.94 / $19.79
| Facility | | $3.93 | $7.94 | $19.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $7.02 / $10.63
| Professional | | $3.61 | $7.02 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.05 / $9.68
| Professional | | $4.84 | $6.05 | $9.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.05 / $13.31
| Professional | | $4.84 | $6.05 | $13.31 |
- 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
- $3.02 / $3.02 / $3.02
| Professional | | $3.02 | $3.02 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $6.32 / $15.13
| Facility | | $4.26 | $6.32 | $15.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $6.05 / $10.89
| Professional | | $3.68 | $6.05 | $10.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.23 / $21.23 / $21.23
| Professional | | $21.23 | $21.23 | $21.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.05 / $8.47
| Professional | | $4.84 | $6.05 | $8.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.02 / $10.19
| Professional | | $2.54 | $3.02 | $10.19 |