- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $1,778.28 / $9,772.37
| Facility | | $11.22 | $1,778.28 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $11.75 / $30.20
| Professional | | $6.03 | $11.75 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $426.58 / $4,897.79
| Facility | | $7.41 | $426.58 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.45 / $29.51
| Professional | | $7.76 | $14.45 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.48 / $20.89 / $43.65
| Professional | 50 | $11.48 | $20.89 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $46.77 / $128.82
| Facility | | $12.88 | $46.77 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $15.85 / $34.67
| Professional | | $7.94 | $15.85 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $1,071.52 / $3,467.37
| Facility | | $158.49 | $1,071.52 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.18 / $26.30
| Professional | | $7.08 | $13.18 | $26.30 |