- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $46.79 / $110.08
| Facility | | $15.95 | $46.79 | $110.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $8.49 / $12.96
| Professional | | $8.22 | $8.49 | $12.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $25.67 / $60.00
| Facility | | $8.61 | $25.67 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $9.44 / $22.99
| Professional | | $5.66 | $9.44 | $22.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $25.30 / $45.83
| Facility | | $4.55 | $25.30 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $12.08
| Professional | | $8.86 | $8.86 | $12.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $13.74 / $32.24
| Facility | | $4.33 | $13.74 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $7.43 / $15.82
| Professional | | $2.61 | $7.43 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.77 / $3,472.00 / $9,239.00
| Facility | | $10.77 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.08 / $35.14
| Professional | | $9.44 | $13.08 | $35.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $12.30 / $75.56
| Facility | | $10.85 | $12.30 | $75.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.67 / $60.00 / $60.00
| Facility | | $25.67 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.33 / $19.92
| Professional | | $4.53 | $6.33 | $19.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $11.41 / $22.13
| Facility | | $9.65 | $11.41 | $22.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.74 / $11.95
| Professional | | $8.32 | $9.74 | $11.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.60 / $19.92
| Professional | | $4.53 | $6.60 | $19.92 |