- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $1,698.24 / $5,011.87
| Facility | | $22.91 | $1,698.24 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $20.89 / $34.67
| Professional | | $14.13 | $20.89 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.18 / $19.50
| Professional | | $12.88 | $13.18 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $23.44 / $38.02
| Professional | | $14.13 | $23.44 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $21.88 / $28.18 / $41.69
| Professional | 50 | $21.88 | $28.18 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $23.99 / $33.88
| Professional | | $15.49 | $23.99 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.40 / $24.55 / $39.81
| Professional | | $0.40 | $24.55 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.30 / $21.88 / $38.02
| Professional | | $0.30 | $21.88 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $25.70 / $35.48
| Professional | | $14.45 | $25.70 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,288.25 / $2,041.74
| Facility | | $199.53 | $1,288.25 | $2,041.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $26.30 / $41.69
| Professional | | $17.78 | $26.30 | $41.69 |