- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $25.02 / $82.34
| Facility | | $7.10 | $25.02 | $82.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.67 / $25.15
| Professional | | $4.51 | $4.67 | $25.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $9.01 / $60.00
| Facility | | $4.72 | $9.01 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.18 / $12.62
| Professional | | $3.11 | $5.18 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $4.87 / $6.62
| Professional | | $4.87 | $4.87 | $6.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $7.71 / $17.67
| Facility | | $3.62 | $7.71 | $17.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.78 / $8.78
| Professional | | $3.12 | $5.78 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $28.50 / $6,679.00
| Facility | | $6.16 | $28.50 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.82 / $8.77
| Professional | | $5.28 | $6.82 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $7.18 / $20.58
| Professional | | $5.18 | $7.18 | $20.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $7.56 / $76.70
| Facility | | $6.11 | $7.56 | $76.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $60.00 / $60.00
| Facility | | $9.01 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $5.18 / $10.92
| Professional | | $2.10 | $5.18 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.87 / $8.44
| Facility | | $5.18 | $5.87 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.34 / $6.55
| Professional | | $4.57 | $5.34 | $6.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $5.18 / $9.26
| Professional | | $2.10 | $5.18 | $9.26 |