- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $10.00 / $16.22
| Facility | | $4.90 | $10.00 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $66.07
| Professional | | $3.02 | $3.98 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $12.88
| Facility | | $4.90 | $4.90 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $7.94
| Professional | | $2.45 | $2.45 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $4.90
| Facility | | $4.90 | $4.90 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.90 / $4.90
| Professional | | $3.63 | $4.90 | $4.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $7.94 / $25.70
| Facility | | $3.47 | $7.94 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $23.99
| Professional | | $2.57 | $2.57 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $8.13 / $19.05
| Facility | | $4.90 | $8.13 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.95 / $9.55
| Professional | | $2.34 | $2.95 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.90 / $6.46
| Professional | | $3.47 | $4.90 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $50,118.72
| Facility | | $6.46 | $9.33 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $4.47 / $5.89
| Facility | | $2.95 | $4.47 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.95 / $7.59
| Professional | | $2.09 | $2.95 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $5.37 / $5.37
| Facility | | $4.17 | $5.37 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.90 / $6.31
| Professional | | $3.02 | $4.90 | $6.31 |