- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.45 / $15.23 / $316.99
| Facility | | $5.45 | $15.23 | $316.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $5.45 / $9.78
| Professional | | $5.16 | $5.45 | $9.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $12.18 / $60.00
| Facility | | $5.22 | $12.18 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.72 / $13.93
| Professional | | $3.43 | $5.72 | $13.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $228.40 / $413.78
| Facility | | $11.34 | $228.40 | $413.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.38 / $5.38 / $7.32
| Professional | | $5.38 | $5.38 | $7.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $8.51 / $19.57
| Facility | | $4.00 | $8.51 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $6.32 / $9.49
| Professional | | $3.54 | $6.32 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $3,472.00 / $9,239.00
| Facility | | $23.22 | $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
- $5.72 / $7.93 / $464.58
| Professional | | $5.72 | $7.93 | $464.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.46 / $7.46 / $105.75
| Facility | | $7.46 | $7.46 | $105.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.18 / $60.00 / $60.00
| Facility | | $12.18 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.84 / $12.09
| Professional | | $2.75 | $3.84 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $1.89 / $1.89
| Facility | | $1.89 | $1.89 | $1.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.92 / $10.25
| Professional | | $2.75 | $3.92 | $10.25 |