- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $21.38 / $41.69
| Facility | | $8.13 | $21.38 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $30.20
| Professional | | $3.02 | $3.98 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $11.22 / $24.55
| Facility | | $2.24 | $11.22 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $4.47 / $11.48
| Professional | | $1.95 | $4.47 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $28.18 / $58.88
| Facility | | $10.00 | $28.18 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.17 / $12.59
| Professional | | $2.95 | $4.17 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $8.13 / $16.60
| Facility | | $3.16 | $8.13 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.72 / $7.24
| Professional | | $2.45 | $3.72 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.79 / $7.76
| Professional | | $3.89 | $4.79 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.79 / $10.72
| Professional | | $3.89 | $4.79 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $100.00
| Facility | | $60.26 | $60.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.79 / $4.79
| Professional | | $2.40 | $4.79 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $5.62 / $12.59
| Facility | | $3.55 | $5.62 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.72 / $9.77
| Professional | | $2.51 | $3.72 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $16.98
| Professional | | $16.98 | $16.98 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.90 / $8.32
| Professional | | $3.89 | $4.90 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $2.69 / $4.79
| Facility | | $2.19 | $2.69 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.88 / $8.71
| Professional | | $2.04 | $2.88 | $8.71 |