- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $28.15 / $77.50
| Facility | | $7.77 | $28.15 | $77.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $4.96 / $5.67
| Professional | | $4.76 | $4.96 | $5.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $15.77 / $60.00
| Facility | | $5.17 | $15.77 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $5.67 / $13.81
| Professional | | $3.40 | $5.67 | $13.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.56 / $27.20
| Facility | | $9.77 | $15.56 | $27.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $5.33 / $7.26
| Professional | | $5.33 | $5.33 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $8.43 / $19.39
| Facility | | $3.96 | $8.43 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $6.28 / $9.49
| Professional | | $3.34 | $6.28 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $3,472.00 / $9,239.00
| Facility | | $21.20 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $8.40 / $9.89
| Professional | | $8.40 | $8.40 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $7.86 / $21.10
| Professional | | $5.67 | $7.86 | $21.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $7.39 / $56.62
| Facility | | $6.62 | $7.39 | $56.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $60.00 / $60.00
| Facility | | $15.93 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.81 / $11.97
| Professional | | $2.72 | $3.81 | $11.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $6.80 / $12.62
| Facility | | $5.48 | $6.80 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.85 / $7.18
| Professional | | $5.00 | $5.85 | $7.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.76 / $10.81
| Professional | | $2.72 | $4.76 | $10.81 |