- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $16.64 / $38.10
| Facility | | $3.89 | $16.64 | $38.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.64 / $12.61
| Professional | | $2.74 | $3.64 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $11.70 / $293.00
| Facility | | $5.31 | $11.70 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $3.48 / $9.65
| Professional | | $1.94 | $3.48 | $9.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $32.54 / $64.40
| Facility | | $9.84 | $32.54 | $64.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.26 / $23.28
| Professional | | $2.27 | $3.26 | $23.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $6.36 / $15.86
| Facility | | $3.15 | $6.36 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $5.78 / $7.83
| Professional | | $2.71 | $5.78 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.84 / $7.76
| Professional | | $3.88 | $4.84 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.84 / $10.57
| Professional | | $3.88 | $4.84 | $10.57 |
- 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
- $2.42 / $2.42 / $2.42
| Professional | | $2.42 | $2.42 | $2.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.40 / $5.16 / $12.29
| Facility | | $3.40 | $5.16 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $4.76 / $8.05
| Professional | | $2.76 | $4.76 | $8.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $17.02 / $17.02
| Professional | | $17.02 | $17.02 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.84 / $6.79
| Professional | | $3.88 | $4.84 | $6.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.21 / $7.42
| Professional | | $2.04 | $2.21 | $7.42 |