- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $61.99 / $200.00
| Facility | | $7.68 | $61.99 | $200.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $9.69 / $15.84
| Professional | | $5.96 | $9.69 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.35 / $40.11 / $76.61
| Facility | | $16.35 | $40.11 | $76.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $9.90 / $9.90
| Professional | | $8.77 | $9.90 | $9.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $14.91 / $40.00
| Professional | | $12.36 | $14.91 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.60 / $43.60 / $43.60
| Facility | | $43.60 | $43.60 | $43.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $65.00 / $75.00
| Facility | | $55.00 | $65.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $17.63 / $102.90
| Professional | | $8.77 | $17.63 | $102.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $80.00 / $100.00
| Facility | | $50.00 | $80.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $79.15 / $104.25
| Professional | | $14.40 | $79.15 | $104.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $14.12 / $24.34
| Facility | | $8.19 | $14.12 | $24.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $15.98 / $23.97
| Professional | | $11.93 | $15.98 | $23.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $12.33 / $13.77
| Professional | | $11.11 | $12.33 | $13.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $65.00 / $75.00
| Facility | | $55.00 | $65.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $18.68 / $105.33
| Professional | | $8.77 | $18.68 | $105.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $12.58 / $16.45
| Professional | | $11.36 | $12.58 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.49 / $11.93 / $80.00
| Professional | | $10.49 | $11.93 | $80.00 |