- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $2,691.53 / $5,623.41
| Facility | | $5.01 | $2,691.53 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $12.02 / $38.90
| Professional | | $5.62 | $12.02 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $309.03 / $2,818.38
| Facility | | $17.78 | $309.03 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $16.22 / $41.69
| Professional | | $7.76 | $16.22 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $19.50
| Facility | | $8.32 | $8.32 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $14.45 / $23.99
| Professional | | $7.94 | $14.45 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $17.38 / $34.67
| Professional | | $8.32 | $17.38 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $177.83 / $7,079.46
| Facility | | $8.71 | $177.83 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.50 / $28.18
| Professional | | $15.14 | $19.50 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $17.38 / $37.15
| Professional | | $8.13 | $17.38 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $79.43 / $89.13
| Facility | | $48.98 | $79.43 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $199.53 / $2,818.38
| Facility | | $17.78 | $199.53 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $16.22 / $42.66
| Professional | | $7.76 | $16.22 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $1,819.70 / $2,818.38
| Facility | | $194.98 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $16.98 / $33.88
| Professional | | $8.71 | $16.98 | $33.88 |