- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.82 / $19.11 / $47.77
| Facility | | $3.82 | $19.11 | $47.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.33 / $104.81
| Professional | | $2.69 | $4.33 | $104.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.86 / $39.32 / $293.00
| Facility | | $17.86 | $39.32 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $6.52 / $12.71
| Professional | | $2.85 | $6.52 | $12.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $33.84 / $63.58
| Facility | | $10.00 | $33.84 | $63.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.20 / $15.23
| Professional | | $2.24 | $3.20 | $15.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $21.20 / $52.58
| Facility | | $4.12 | $21.20 | $52.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $17.38 / $24.78
| Professional | | $2.71 | $17.38 | $24.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $16.30 / $26.08
| Professional | | $3.94 | $16.30 | $26.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $16.30 / $31.79
| Professional | | $12.97 | $16.30 | $31.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $77.43 / $100.00
| Facility | | $55.00 | $77.43 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.15 / $8.15 / $8.15
| Professional | | $8.15 | $8.15 | $8.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $13.25 / $33.06
| Facility | | $4.34 | $13.25 | $33.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $7.78 / $19.55
| Professional | | $2.75 | $7.78 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.21 / $57.21 / $57.21
| Professional | | $57.21 | $57.21 | $57.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $10.66 / $14.67
| Professional | | $6.39 | $10.66 | $14.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $6.85 / $19.55
| Professional | | $2.12 | $6.85 | $19.55 |