- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $23.17 / $56.39
| Facility | | $5.86 | $23.17 | $56.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $12.00 / $32.28
| Professional | | $5.30 | $12.00 | $32.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $12.11 / $293.00
| Facility | | $5.50 | $12.11 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $4.70 / $12.87
| Professional | | $2.84 | $4.70 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $46.33 / $92.28
| Facility | | $12.64 | $46.33 | $92.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $4.44 / $24.10
| Professional | | $3.11 | $4.44 | $24.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $6.59 / $16.79
| Facility | | $3.51 | $6.59 | $16.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $6.20 / $11.18
| Professional | | $3.25 | $6.20 | $11.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $5.01 / $8.02
| Professional | | $4.30 | $5.01 | $8.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $11.38
| Professional | | $4.01 | $5.01 | $11.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $80.00
| Facility | | $60.00 | $60.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.01
| Professional | | $3.01 | $3.01 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.66 / $5.52 / $12.71
| Facility | | $2.66 | $5.52 | $12.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.04 / $10.03
| Professional | | $3.43 | $5.04 | $10.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.62 / $17.62 / $17.62
| Professional | | $17.62 | $17.62 | $17.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.51 / $6.02
| Professional | | $4.01 | $4.51 | $6.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.26 / $11.88
| Professional | | $3.01 | $4.26 | $11.88 |