- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $51.60 / $172.75
| Facility | | $4.09 | $51.60 | $172.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $2.69 / $2.99
| Professional | | $2.33 | $2.69 | $2.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $5.51 / $60.00
| Facility | | $2.73 | $5.51 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.99 / $7.28
| Professional | | $1.79 | $2.99 | $7.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.91 / $168.04 / $304.43
| Facility | | $5.91 | $168.04 | $304.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $2.81 / $3.82
| Professional | | $2.81 | $2.81 | $3.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $4.42 / $10.21
| Facility | | $2.09 | $4.42 | $10.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.30 / $4.97
| Professional | | $1.87 | $3.30 | $4.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.53 / $3,472.00 / $9,239.00
| Facility | | $15.53 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.94
| Professional | | $4.20 | $4.20 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.99 / $4.13 / $341.80
| Professional | | $2.99 | $4.13 | $341.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $6.90 / $166.87
| Facility | | $3.64 | $6.90 | $166.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $60.00 / $60.00
| Facility | | $5.51 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $2.00 / $6.30
| Professional | | $1.44 | $2.00 | $6.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $27.00 / $259.16
| Facility | | $3.08 | $27.00 | $259.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.08 / $3.78
| Professional | | $2.64 | $3.08 | $3.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.69 / $11.23
| Professional | | $1.48 | $2.69 | $11.23 |