- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.83 / $29.21 / $66.83
| Facility | | $6.83 | $29.21 | $66.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.87 / $16.82
| Professional | | $4.80 | $5.87 | $16.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $15.61 / $293.00
| Facility | | $7.09 | $15.61 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $5.09 / $16.61
| Professional | | $3.19 | $5.09 | $16.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.51 / $54.60 / $97.40
| Facility | | $16.51 | $54.60 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.73 / $31.06
| Professional | | $4.01 | $5.73 | $31.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $8.50 / $21.68
| Facility | | $4.49 | $8.50 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $7.85 / $11.44
| Professional | | $4.24 | $7.85 | $11.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.47 / $10.35
| Professional | | $5.75 | $6.47 | $10.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $14.10
| Professional | | $5.18 | $6.47 | $14.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $3.88 / $3.88
| Professional | | $3.88 | $3.88 | $3.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.76 / $18.50
| Facility | | $5.37 | $7.76 | $18.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $6.47 / $12.94
| Professional | | $4.41 | $6.47 | $12.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.70 / $22.70 / $22.70
| Professional | | $22.70 | $22.70 | $22.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $9.06
| Professional | | $5.18 | $6.47 | $9.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $12.43
| Professional | | $2.72 | $3.88 | $12.43 |