- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $2,691.53 / $9,772.37
| Facility | | $7.08 | $2,691.53 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $23.44 / $93.33
| Professional | | $3.72 | $23.44 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.62 / $7.41
| Professional | | $4.37 | $5.62 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $104.71 / $181.97
| Facility | | $54.95 | $104.71 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $8.13 / $15.85
| Professional | | $1.74 | $8.13 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $5.89 / $12.59
| Professional | | $2.45 | $5.89 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $16.60
| Professional | | $16.60 | $16.60 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $6.46 / $12.30
| Facility | | $2.04 | $6.46 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,202.26 / $3,548.13
| Facility | | $380.19 | $1,202.26 | $3,548.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $4.90 / $8.71
| Professional | | $1.82 | $4.90 | $8.71 |