- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $16.27 / $50.12
| Facility | | $3.35 | $16.27 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $3.57 / $7.14
| Professional | | $3.15 | $3.57 | $7.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.86 / $25.79 / $8,639.91
| Facility | | $19.86 | $25.79 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.07 / $3.07
| Professional | | $3.07 | $3.07 | $3.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $5.24 / $13.04
| Facility | | $2.59 | $5.24 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.59 / $6.77
| Professional | | $2.49 | $4.59 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.31 / $5.33
| Professional | | $1.81 | $2.31 | $5.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $10.75 / $180.00
| Facility | | $5.57 | $10.75 | $180.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $3.35 / $4.00
| Professional | | $3.18 | $3.35 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $10.78 / $47.94
| Facility | | $3.35 | $10.78 | $47.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $3.58 / $16.27
| Professional | | $2.84 | $3.58 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $5.99 / $13.04
| Facility | | $2.64 | $5.99 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.54 / $6.77
| Professional | | $2.49 | $4.54 | $6.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $3.94 / $3.94
| Facility | | $3.94 | $3.94 | $3.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $3.94 / $5.61
| Professional | | $3.47 | $3.94 | $5.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.52 / $7.21
| Professional | | $1.77 | $2.52 | $7.21 |