- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $20.42
| Facility | | $1.00 | $1.00 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $3.02 / $13.18
| Professional | | $1.00 | $3.02 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $1.95 / $4.90
| Facility | | $1.55 | $1.95 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $5.50
| Professional | | $2.09 | $2.09 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $6.76 / $10.00
| Facility | | $4.90 | $6.76 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.71 / $16.98
| Professional | | $5.50 | $8.71 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.40
| Professional | | $2.40 | $2.40 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.25 / $6.46
| Professional | | $4.79 | $5.25 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.90 / $10.96
| Professional | | $3.02 | $4.90 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $85.11
| Facility | | $79.43 | $79.43 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $346.74 / $346.74
| Professional | | $23.44 | $346.74 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $4.79 / $6.76
| Facility | | $2.82 | $4.79 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $4.57
| Professional | | $2.40 | $2.40 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $8.91
| Professional | | $8.91 | $8.91 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $1.48 / $7.41
| Professional | | $0.60 | $1.48 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.09 / $4.68
| Professional | | $1.78 | $2.09 | $4.68 |