- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $52.48 / $81.28
| Facility | | $41.69 | $52.48 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $40.74 / $93.33
| Professional | | $25.70 | $40.74 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,162.28 / $10,471.29
| Facility | | $2,137.96 | $3,162.28 | $10,471.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $67.61 / $102.33
| Professional | | $33.88 | $67.61 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $63.10
| Facility | | $50.12 | $50.12 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $69.18 / $109.65
| Professional | | $41.69 | $69.18 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $70.79 / $89.13
| Professional | | $44.67 | $70.79 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $3,467.37 / $6,760.83
| Facility | | $1,288.25 | $3,467.37 | $6,760.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $53.70 / $112.20
| Professional | | $30.20 | $53.70 | $112.20 |