- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.09 / $21.69 / $53.84
| Facility | | $6.09 | $21.69 | $53.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $10.94 / $78.54
| Professional | | $4.67 | $10.94 | $78.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $18.86 / $293.00
| Facility | | $8.57 | $18.86 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $4.23 / $12.96
| Professional | | $3.13 | $4.23 | $12.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.94 / $46.14 / $91.91
| Facility | | $13.94 | $46.14 | $91.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.62 / $37.54
| Professional | | $3.23 | $4.62 | $37.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $10.26 / $25.20
| Facility | | $5.08 | $10.26 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $9.09 / $11.88
| Professional | | $3.87 | $9.09 | $11.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.82 / $12.51
| Professional | | $5.68 | $7.82 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $7.82 / $17.05
| Professional | | $6.26 | $7.82 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.16 / $70.00 / $70.00
| Facility | | $19.16 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $4.69 / $4.69
| Professional | | $4.69 | $4.69 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $7.82 / $17.43
| Facility | | $5.08 | $7.82 | $17.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $7.17 / $11.41
| Professional | | $3.88 | $7.17 | $11.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.44 / $27.44 / $27.44
| Professional | | $27.44 | $27.44 | $27.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $6.36 / $7.95
| Professional | | $5.79 | $6.36 | $7.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.29 / $11.75
| Professional | | $3.07 | $3.29 | $11.75 |