- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $37.81 / $148.75
| Facility | | $7.04 | $37.81 | $148.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.88 / $37.81
| Professional | | $4.37 | $5.88 | $37.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.44 / $14.18 / $293.00
| Facility | | $6.44 | $14.18 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $4.63 / $14.40
| Professional | | $2.90 | $4.63 | $14.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.99 / $51.95 / $95.19
| Facility | | $14.99 | $51.95 | $95.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $5.21 / $28.22
| Professional | | $3.65 | $5.21 | $28.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $7.72 / $19.67
| Facility | | $4.07 | $7.72 | $19.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $6.95 / $9.86
| Professional | | $3.82 | $6.95 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $5.88 / $9.41
| Professional | | $5.23 | $5.88 | $9.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $5.88 / $13.33
| Professional | | $4.70 | $5.88 | $13.33 |
- 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
- $3.53 / $3.53 / $3.53
| Professional | | $3.53 | $3.53 | $3.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $7.06 / $18.95
| Facility | | $4.88 | $7.06 | $18.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $5.88 / $11.76
| Professional | | $3.82 | $5.88 | $11.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.63 / $20.63 / $20.63
| Professional | | $20.63 | $20.63 | $20.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $5.88 / $8.23
| Professional | | $4.70 | $5.88 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.53 / $11.10
| Professional | | $2.47 | $3.53 | $11.10 |