- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $6.79 / $11.96
| Facility | | $3.30 | $6.79 | $11.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $3.81 / $4.26
| Professional | | $3.17 | $3.81 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $11.10
| Facility | | $4.26 | $4.26 | $11.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.58 / $9.63
| Professional | | $2.04 | $2.58 | $9.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $4.26 / $4.26
| Facility | | $2.56 | $4.26 | $4.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.26 / $4.26
| Professional | | $3.12 | $4.26 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $8.47 / $44.95
| Facility | | $2.98 | $8.47 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $29.38
| Professional | | $3.25 | $4.75 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $6.41 / $332.00
| Facility | | $4.00 | $6.41 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.71 / $2.56 / $7.81
| Professional | | $1.71 | $2.56 | $7.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.26 / $5.55
| Professional | | $3.63 | $4.26 | $5.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $3.12 / $40.00
| Facility | | $2.85 | $3.12 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $10.21 / $58.93
| Facility | | $5.09 | $10.21 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $5.61 / $8.80
| Professional | | $3.36 | $5.61 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.56 / $8.98
| Professional | | $1.79 | $2.56 | $8.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $4.91 / $15.38
| Facility | | $4.91 | $4.91 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $4.67 / $13.50
| Professional | | $3.68 | $4.67 | $13.50 |