- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $37.15 / $89.13
| Facility | | $7.94 | $37.15 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.62 / $10.00
| Professional | | $3.98 | $5.62 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.98 / $4.68
| Professional | | $3.24 | $3.98 | $4.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $19.95 / $38.02
| Facility | | $7.24 | $19.95 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.01 / $6.61
| Professional | | $3.63 | $5.01 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $9.77 / $67.61
| Facility | | $6.17 | $9.77 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.61 / $11.48
| Professional | | $4.68 | $6.61 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $7.08 / $7.08
| Facility | | $6.61 | $7.08 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $14.45 / $36.31
| Facility | | $6.46 | $14.45 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $4.79 / $11.48
| Professional | | $3.55 | $4.79 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $100.00 / $100.00
| Facility | | $60.26 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.08 / $70.79
| Facility | | $5.37 | $7.08 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $9.33
| Professional | | $3.98 | $6.03 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.62 / $5.62
| Professional | | $5.01 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $6.61 / $19.50
| Facility | | $5.37 | $6.61 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.90 / $11.48
| Professional | | $3.89 | $4.90 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $4.47 / $6.61
| Facility | | $2.40 | $4.47 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.89 / $5.75
| Professional | | $2.82 | $3.89 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $2.63 / $6.61
| Professional | | $2.63 | $2.63 | $6.61 |