- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.21 / $1,247.56 / $6,827.70
| Facility | | $21.21 | $1,247.56 | $6,827.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.04 / $24.53 / $43.92
| Professional | | $16.04 | $24.53 | $43.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.86 / $23.48 / $34.52
| Professional | | $15.86 | $23.48 | $34.52 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $23.87 / $35.22 / $51.79
| Professional | 50 | $23.87 | $35.22 | $51.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.07 / $18.07 / $916.00
| Professional | | $18.07 | $18.07 | $916.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.59 / $28.59 / $28.59
| Facility | | $28.59 | $28.59 | $28.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $25.15 / $47.87
| Professional | | $16.80 | $25.15 | $47.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.34 / $28.00 / $33.34
| Professional | | $25.34 | $28.00 | $33.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.20 / $24.02 / $37.44
| Facility | | $16.20 | $24.02 | $37.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.00 / $34.00 / $56.10
| Professional | | $32.00 | $34.00 | $56.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.25 / $23.65 / $1,098.00
| Facility | | $17.25 | $23.65 | $1,098.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.53 / $35.15 / $1,098.00
| Professional | | $26.53 | $35.15 | $1,098.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.00 / $1,045.00 / $2,364.00
| Facility | | $296.00 | $1,045.00 | $2,364.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.66 / $29.93 / $50.42
| Professional | | $21.66 | $29.93 | $50.42 |