- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $30.35 / $105.75
| Facility | | $5.52 | $30.35 | $105.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.34 / $8.58
| Professional | | $3.19 | $4.34 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $11.38 / $293.00
| Facility | | $5.17 | $11.38 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.26 / $11.02
| Professional | | $2.33 | $4.26 | $11.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.93 / $41.97 / $82.56
| Facility | | $11.93 | $41.97 | $82.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $4.19 / $22.66
| Professional | | $2.93 | $4.19 | $22.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $6.20 / $15.81
| Facility | | $3.28 | $6.20 | $15.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $5.78 / $8.43
| Professional | | $3.18 | $5.78 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $4.72 / $7.55
| Professional | | $3.55 | $4.72 | $7.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $4.72 / $10.29
| Professional | | $3.78 | $4.72 | $10.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $2.83 / $2.83
| Professional | | $2.83 | $2.83 | $2.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $5.66 / $13.57
| Facility | | $3.92 | $5.66 | $13.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.72 / $9.44
| Professional | | $3.25 | $4.72 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $16.55 / $16.55
| Professional | | $16.55 | $16.55 | $16.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $4.72 / $6.61
| Professional | | $3.78 | $4.72 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.83 / $9.07
| Professional | | $1.98 | $2.83 | $9.07 |