- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $20.56 / $44.38
| Facility | | $4.54 | $20.56 | $44.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $5.14 / $27.71
| Professional | | $3.19 | $5.14 | $27.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $10.40 / $293.00
| Facility | | $4.72 | $10.40 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.39 / $10.02
| Professional | | $2.13 | $3.39 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.84 / $38.28 / $75.06
| Facility | | $10.84 | $38.28 | $75.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $3.81 / $20.69
| Professional | | $2.67 | $3.81 | $20.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.97 / $5.66 / $15.00
| Facility | | $2.97 | $5.66 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $5.09 / $7.83
| Professional | | $2.76 | $5.09 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.83 / $4.30 / $6.90
| Professional | | $3.83 | $4.30 | $6.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.30 / $9.40
| Professional | | $3.45 | $4.30 | $9.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $70.00 / $80.00
| Facility | | $70.00 | $70.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $5.17 / $13.75
| Facility | | $3.23 | $5.17 | $13.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $4.30 / $8.61
| Professional | | $2.78 | $4.30 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.12 / $15.12 / $15.12
| Professional | | $15.12 | $15.12 | $15.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.91 / $5.36
| Professional | | $3.45 | $3.91 | $5.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.59 / $8.27
| Professional | | $1.81 | $2.59 | $8.27 |