- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $173.78 / $8,511.38
| Facility | | $7.08 | $173.78 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.47 / $20.89
| Professional | | $6.03 | $10.47 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $16.60
| Professional | | $12.59 | $12.59 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $10,715.19 / $11,220.18
| Facility | | $3,801.89 | $10,715.19 | $11,220.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $10.47 / $22.39
| Professional | | $6.61 | $10.47 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $9.77 / $15.85 / $33.88
| Professional | 50 | $9.77 | $15.85 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $8.51 / $10.00
| Facility | | $6.76 | $8.51 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.77 / $11.48
| Professional | | $6.92 | $9.77 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $34.67
| Facility | | $12.88 | $12.88 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $15.14 / $97.72
| Professional | | $7.76 | $15.14 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $165.96
| Professional | | $32.36 | $33.11 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $602.56 / $3,162.28
| Facility | | $50.12 | $602.56 | $3,162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $13.49 / $23.44
| Professional | | $7.76 | $13.49 | $23.44 |