- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $1,318.26 / $7,585.78
| Facility | | $29.51 | $1,318.26 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $40.74 / $85.11
| Professional | | $19.05 | $40.74 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $3,467.37 / $8,511.38
| Facility | | $2,454.71 | $3,467.37 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $46.77 / $83.18
| Professional | | $28.18 | $46.77 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $45.71 / $63.10 / $104.71
| Professional | 50 | $45.71 | $63.10 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $44.67 / $70.79
| Professional | | $26.92 | $44.67 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $66.07 / $107.15
| Professional | | $30.20 | $66.07 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $44.67 / $46.77
| Professional | | $21.38 | $44.67 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $1,479.11 / $2,691.53
| Facility | | $676.08 | $1,479.11 | $2,691.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $46.77 / $83.18
| Professional | | $27.54 | $46.77 | $83.18 |