- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $13.13 / $31.31
| Facility | | $2.76 | $13.13 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.83 / $10.50
| Professional | | $2.18 | $2.83 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $16.88 / $293.00
| Facility | | $7.67 | $16.88 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.48 / $7.28
| Professional | | $1.86 | $3.48 | $7.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $21.02 / $44.09
| Facility | | $6.53 | $21.02 | $44.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $2.10 / $33.60
| Professional | | $1.47 | $2.10 | $33.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.70 / $9.19 / $22.57
| Facility | | $2.70 | $9.19 | $22.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $7.42 / $10.84
| Professional | | $1.82 | $7.42 | $10.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $7.00 / $11.20
| Professional | | $2.02 | $7.00 | $11.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.00 / $13.65
| Professional | | $5.60 | $7.00 | $13.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.14 / $60.00 / $60.00
| Facility | | $17.14 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.20
| Professional | | $4.20 | $4.20 | $4.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.84 / $6.20 / $14.07
| Facility | | $2.84 | $6.20 | $14.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $4.21 / $8.40
| Professional | | $1.85 | $4.21 | $8.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.57 / $24.57 / $24.57
| Professional | | $24.57 | $24.57 | $24.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $5.30 / $6.44
| Professional | | $3.79 | $5.30 | $6.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.99 / $4.20 / $10.71
| Professional | | $1.99 | $4.20 | $10.71 |