- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.09 / $65.66 / $836.00
| Facility | | $0.09 | $65.66 | $836.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $13.85
| Professional | | $0.08 | $0.08 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.00 / $13.00
| Professional | | $5.00 | $8.00 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.32 / $0.77 / $1.61
| Facility | | $0.32 | $0.77 | $1.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.04 / $0.04 / $0.04
| Professional | | $0.04 | $0.04 | $0.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.33 / $0.96 / $8.77
| Facility | | $0.33 | $0.96 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.10 / $1.08 / $12.26
| Professional | | $0.10 | $1.08 | $12.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.56 / $28.56 / $28.56
| Facility | | $28.56 | $28.56 | $28.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $0.08
| Facility | | $0.08 | $0.08 | $0.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $0.08
| Professional | | $0.08 | $0.08 | $0.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $774.41 / $774.41 / $774.41
| Professional | | $774.41 | $774.41 | $774.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.08 / $0.10 / $10.63
| Facility | | $0.08 | $0.10 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.07 / $0.10 / $0.45
| Professional | | $0.07 | $0.10 | $0.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $880.33 / $1,201.71 / $8,024.49
| Facility | | $880.33 | $1,201.71 | $8,024.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.05 / $0.09 / $7.00
| Professional | | $0.05 | $0.09 | $7.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.08 / $0.10 / $10.58
| Facility | | $0.08 | $0.10 | $10.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $0.10
| Professional | | $0.08 | $0.08 | $0.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $2.67
| Professional | | $0.08 | $0.08 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.08 / $0.08 / $0.11
| Professional | | $0.08 | $0.08 | $0.11 |