- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.26 / $30.00 / $75.00
| Facility | | $5.26 | $30.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $4.00 / $23.89
| Professional | | $3.64 | $4.00 | $23.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $3.06
| Professional | | $2.64 | $2.64 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $10.61 / $293.00
| Facility | | $4.82 | $10.61 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $3.47 / $11.29
| Professional | | $2.18 | $3.47 | $11.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $39.11 / $76.94
| Facility | | $11.09 | $39.11 | $76.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.89 / $21.12
| Professional | | $2.72 | $3.89 | $21.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $5.78 / $14.73
| Facility | | $3.06 | $5.78 | $14.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $5.37 / $7.83
| Professional | | $2.97 | $5.37 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $4.40 / $7.04
| Professional | | $3.91 | $4.40 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.40 / $9.68
| Professional | | $3.52 | $4.40 | $9.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $2.64
| Professional | | $2.64 | $2.64 | $2.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $5.26 / $13.33
| Facility | | $3.64 | $5.26 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.40 / $8.80
| Professional | | $3.01 | $4.40 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.44 / $15.44 / $15.44
| Professional | | $15.44 | $15.44 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.40 / $6.16
| Professional | | $3.52 | $4.40 | $6.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.85 / $4.40 / $4.40
| Facility | | $1.85 | $4.40 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.64 / $8.83
| Professional | | $1.85 | $2.64 | $8.83 |