- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $105.63 / $273.14
| Facility | | $11.27 | $105.63 | $273.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $21.85 / $46.37
| Professional | | $9.16 | $21.85 | $46.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $23.93 / $40.94
| Professional | | $8.73 | $23.93 | $40.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $13.04 / $916.00
| Professional | | $9.66 | $13.04 | $916.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $25.75 / $50.72
| Professional | | $10.11 | $25.75 | $50.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.56 / $35.47 / $43.82
| Professional | | $29.56 | $35.47 | $43.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $29.56 / $49.24
| Facility | | $11.07 | $29.56 | $49.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $37.00 / $52.70
| Professional | | $30.00 | $37.00 | $52.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $12.42 / $1,169.82
| Facility | | $9.01 | $12.42 | $1,169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.35 / $35.84 / $1,169.82
| Professional | | $27.35 | $35.84 | $1,169.82 |
- 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
- $23.73 / $39.07 / $59.67
| Professional | | $23.73 | $39.07 | $59.67 |