- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.86 / $32.36 / $72.98
| Facility | | $6.86 | $32.36 | $72.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $6.86 / $32.36
| Professional | | $3.01 | $6.86 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $15.68 / $293.00
| Facility | | $7.12 | $15.68 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.41 / $16.72
| Professional | | $3.21 | $6.41 | $16.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $54.60 / $97.40
| Facility | | $16.57 | $54.60 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $5.76 / $31.20
| Professional | | $4.03 | $5.76 | $31.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $8.53 / $21.78
| Facility | | $4.54 | $8.53 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.75 / $8.91
| Professional | | $3.42 | $6.75 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $7.15 / $99.00
| Professional | | $6.50 | $7.15 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $6.50 / $12.68
| Professional | | $5.20 | $6.50 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $75.00 / $75.00
| Facility | | $75.00 | $75.00 | $75.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $7.78 / $16.25
| Facility | | $4.36 | $7.78 | $16.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $5.66 / $6.54
| Professional | | $3.42 | $5.66 | $6.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $20.07
| Professional | | $20.07 | $20.07 | $20.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $5.20 / $6.50
| Professional | | $5.20 | $5.20 | $6.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $5.53 / $14.35
| Professional | | $3.90 | $5.53 | $14.35 |