- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $23.61 / $54.01
| Facility | | $5.52 | $23.61 | $54.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.11 / $49.77
| Professional | | $3.89 | $6.11 | $49.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $18.67 / $293.00
| Facility | | $8.48 | $18.67 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.32 / $13.42
| Professional | | $3.10 | $4.32 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.96 / $46.20 / $92.03
| Facility | | $13.96 | $46.20 | $92.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.63 / $37.15
| Professional | | $3.24 | $4.63 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $10.02 / $25.00
| Facility | | $5.03 | $10.02 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $9.09 / $11.88
| Professional | | $3.87 | $9.09 | $11.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $7.74 / $12.38
| Professional | | $5.70 | $7.74 | $12.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $7.74 / $16.87
| Professional | | $6.19 | $7.74 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.64 / $4.64 / $4.64
| Professional | | $4.64 | $4.64 | $4.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $7.74 / $17.27
| Facility | | $5.03 | $7.74 | $17.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $6.76 / $11.26
| Professional | | $3.88 | $6.76 | $11.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.16 / $27.16 / $27.16
| Professional | | $27.16 | $27.16 | $27.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $7.74 / $10.84
| Professional | | $6.19 | $7.74 | $10.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $3.29 / $13.05
| Professional | | $3.07 | $3.29 | $13.05 |