- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.91 / $60.77 / $318.07
| Facility | | $5.91 | $60.77 | $318.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.25 / $5.14
| Professional | | $2.40 | $3.25 | $5.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $13.15 / $25.04
| Facility | | $3.51 | $13.15 | $25.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $4.19 / $5.50
| Professional | | $2.35 | $4.19 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $6.63 / $29.82
| Facility | | $4.28 | $6.63 | $29.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $3.85 / $4.28
| Facility | | $3.85 | $3.85 | $4.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $9.40 / $21.14
| Facility | | $2.99 | $9.40 | $21.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.12 / $7.11
| Professional | | $2.27 | $3.12 | $7.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.87 / $66.41 / $100.00
| Facility | | $52.87 | $66.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $5.29 / $7.89
| Professional | | $3.57 | $5.29 | $7.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $4.28 / $10.71
| Facility | | $3.42 | $4.28 | $10.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $4.28 / $4.28
| Professional | | $3.91 | $4.28 | $4.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.42 / $4.28 / $10.71
| Facility | | $3.42 | $4.28 | $10.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.30 / $4.78
| Professional | | $2.27 | $3.30 | $4.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $4.28 / $5.14
| Facility | | $2.50 | $4.28 | $5.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.46 / $4.46
| Professional | | $1.80 | $2.46 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $2.10 / $4.28
| Professional | | $1.67 | $2.10 | $4.28 |