- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.06 / $83.27 / $270.00
| Facility | | $14.06 | $83.27 | $270.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.20 / $47.00
| Professional | | $6.06 | $7.20 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.84 / $5.61
| Professional | | $4.04 | $4.84 | $5.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $19.48 / $293.00
| Facility | | $8.85 | $19.48 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $6.36 / $27.93
| Professional | | $3.99 | $6.36 | $27.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.93 / $63.45 / $106.24
| Facility | | $20.93 | $63.45 | $106.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.15 / $38.78
| Professional | | $5.01 | $7.15 | $38.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $10.61 / $27.04
| Facility | | $5.61 | $10.61 | $27.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $9.65 / $13.55
| Professional | | $5.31 | $9.65 | $13.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $8.08 / $12.93
| Professional | | $7.18 | $8.08 | $12.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.08 / $17.61
| Professional | | $6.46 | $8.08 | $17.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $62.20 / $100.00
| Facility | | $50.00 | $62.20 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $13.77 / $45.00
| Professional | | $11.05 | $13.77 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $4.84
| Professional | | $4.84 | $4.84 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $9.66 / $27.04
| Facility | | $6.70 | $9.66 | $27.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $8.08 / $16.16
| Professional | | $5.31 | $8.08 | $16.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.36 / $28.36 / $28.36
| Professional | | $28.36 | $28.36 | $28.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.08 / $11.31
| Professional | | $6.46 | $8.08 | $11.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.84 / $15.52
| Professional | | $3.39 | $4.84 | $15.52 |