- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $46.64 / $190.00
| Facility | | $2.24 | $46.64 | $190.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.49 / $31.80
| Professional | | $1.48 | $1.49 | $31.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $6.48 / $8,459.92
| Facility | | $5.51 | $6.48 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $6.48 / $6.48
| Professional | | $6.48 | $6.48 | $6.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.48 / $1.48
| Facility | | $1.39 | $1.48 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $1.53
| Professional | | $1.48 | $1.48 | $1.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $1.60 / $1.82
| Professional | | $1.53 | $1.60 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $14.51 / $19.30
| Facility | | $5.15 | $14.51 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $47.22 / $190.00
| Facility | | $2.73 | $47.22 | $190.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.61 / $31.80
| Professional | | $1.48 | $1.61 | $31.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.55 / $568.41 / $851.79
| Facility | | $559.55 | $568.41 | $851.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.41 / $3.50
| Professional | | $2.16 | $2.41 | $3.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.48 / $1.48
| Facility | | $1.39 | $1.48 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $1.63
| Professional | | $1.48 | $1.48 | $1.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $1.58 / $1.83
| Facility | | $1.58 | $1.58 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $1.58 / $1.83
| Professional | | $1.58 | $1.58 | $1.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $2.71
| Professional | | $1.48 | $1.48 | $2.71 |