- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $7.55 / $2,621.36
| Facility | | $6.65 | $7.55 | $2,621.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $6.74 / $8.99
| Professional | | $4.46 | $6.74 | $8.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $11.52 / $28.15
| Facility | | $7.68 | $11.52 | $28.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $4.88 / $4.88
| Professional | | $4.88 | $4.88 | $4.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $6.16 / $12.02
| Facility | | $6.16 | $6.16 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.24 / $5.24
| Professional | | $5.24 | $5.24 | $5.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.83 / $80.00 / $85.00
| Facility | | $20.83 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.09 / $51.09 / $76.95
| Professional | | $51.09 | $51.09 | $76.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.74 / $8.07 / $12.80
| Facility | | $6.74 | $8.07 | $12.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $9.75 / $10.26
| Professional | | $8.67 | $9.75 | $10.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $11.80 / $20.20
| Professional | | $7.70 | $11.80 | $20.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.83 / $8.07 / $12.85
| Facility | | $6.83 | $8.07 | $12.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.24 / $8.55
| Professional | | $5.24 | $5.24 | $8.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.73 / $6.24
| Professional | | $3.63 | $4.73 | $6.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $10.26 / $13.85
| Professional | | $4.55 | $10.26 | $13.85 |