- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $489.78 / $8,317.64
| Facility | | $13.80 | $489.78 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $12.02 / $38.90
| Professional | | $6.03 | $12.02 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.18 / $13.49
| Professional | | $12.88 | $13.18 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,258.93 / $57,543.99
| Facility | | $1,174.90 | $1,258.93 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $20.89 / $35.48
| Professional | | $12.30 | $20.89 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $14.13 / $23.44 / $35.48
| Professional | 50 | $14.13 | $23.44 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $13.80 / $26.30
| Professional | | $7.24 | $13.80 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $21.88 / $23.99
| Professional | | $16.98 | $21.88 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.05 / $28.84
| Professional | | $11.48 | $19.05 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $151.36 / $275.42
| Facility | | $134.90 | $151.36 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $724.44 / $8,317.64
| Facility | | $61.66 | $724.44 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $13.18 / $33.11
| Professional | | $6.92 | $13.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $25.12
| Professional | | $25.12 | $25.12 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $8.71 / $27.54
| Facility | | $5.50 | $8.71 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.96 / $27.54
| Professional | | $5.01 | $10.96 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $489.78 / $3,890.45
| Facility | | $120.23 | $489.78 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.59 / $23.44
| Professional | | $7.08 | $12.59 | $23.44 |