- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $34.00 / $1,181.36
| Facility | | $4.57 | $34.00 | $1,181.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $4.47 / $40.83
| Professional | | $3.18 | $4.47 | $40.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $15.32 / $293.00
| Facility | | $6.96 | $15.32 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.13 / $8.42
| Professional | | $2.54 | $3.13 | $8.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $40.13 / $81.67
| Facility | | $17.38 | $40.13 | $81.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.39 / $30.48
| Professional | | $2.37 | $3.39 | $30.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $8.34 / $20.48
| Facility | | $4.13 | $8.34 | $20.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $7.43 / $9.81
| Professional | | $2.90 | $7.43 | $9.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $6.35 / $10.16
| Professional | | $3.28 | $6.35 | $10.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $6.35 / $14.39
| Professional | | $5.08 | $6.35 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $80.00 / $80.00
| Facility | | $60.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $3.17 / $3.17
| Professional | | $3.17 | $3.17 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $6.20 / $15.45
| Facility | | $3.18 | $6.20 | $15.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $5.25 / $7.62
| Professional | | $2.93 | $5.25 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.28 / $22.28 / $22.28
| Professional | | $22.28 | $22.28 | $22.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $5.08 / $5.72
| Professional | | $3.35 | $5.08 | $5.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.67 / $12.20
| Professional | | $2.25 | $2.67 | $12.20 |