- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.69 / $13.65 / $38.08
| Facility | | $5.69 | $13.65 | $38.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $4.05 / $11.21
| Professional | | $3.99 | $4.05 | $11.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $9.09 / $80.00
| Facility | | $4.09 | $9.09 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.48 / $10.91
| Professional | | $2.69 | $4.48 | $10.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $12.28 / $21.48
| Facility | | $7.71 | $12.28 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $4.21 / $5.72
| Professional | | $4.21 | $4.21 | $5.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $6.75 / $15.30
| Facility | | $3.13 | $6.75 | $15.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $5.37 / $7.86
| Professional | | $2.63 | $5.37 | $7.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.80 / $3,472.00 / $9,239.00
| Facility | | $19.80 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $6.53 / $7.68
| Professional | | $6.53 | $6.53 | $7.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $6.21 / $16.64
| Professional | | $4.48 | $6.21 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $5.83 / $23.74
| Facility | | $5.46 | $5.83 | $23.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $80.00 / $80.00
| Facility | | $9.09 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.69 / $9.44
| Professional | | $2.02 | $2.69 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $5.38 / $7.35
| Facility | | $4.48 | $5.38 | $7.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.69 / $9.44
| Professional | | $1.88 | $2.69 | $9.44 |