- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $9,772.37 / $19,952.62
| Facility | | $199.53 | $9,772.37 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $14.13 / $39.81
| Professional | | $6.03 | $14.13 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $13.49
| Professional | | $10.47 | $10.47 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $8.91 / $40.74
| Facility | | $7.08 | $8.91 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $18.20 / $40.74
| Professional | | $8.32 | $18.20 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.48 / $19.95 / $28.84
| Professional | 50 | $11.48 | $19.95 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $100.00 / $1,778.28
| Facility | | $57.54 | $100.00 | $1,778.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $18.62 / $37.15
| Professional | | $9.55 | $18.62 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $15.49 / $28.84
| Professional | | $8.13 | $15.49 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.77 / $21.88
| Professional | | $7.24 | $9.77 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $15.14 / $28.18
| Professional | | $6.61 | $15.14 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,288.25
| Facility | | $54.95 | $56.23 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $131.83
| Professional | | $131.83 | $131.83 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $19.95
| Professional | | $12.02 | $12.02 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $14.13 / $26.92
| Facility | | $6.76 | $14.13 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $15.49 / $28.84
| Professional | | $8.13 | $15.49 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $46.77
| Professional | | $25.12 | $25.12 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $1,584.89 / $6,456.54
| Facility | | $588.84 | $1,584.89 | $6,456.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $12.02 / $25.70
| Professional | | $6.61 | $12.02 | $25.70 |