- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $30.20 / $52.48
| Facility | | $13.80 | $30.20 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $15.14 / $63.10
| Professional | | $10.00 | $15.14 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $501.19 / $2,818.38
| Facility | | $28.84 | $501.19 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $21.88 / $46.77
| Professional | | $11.22 | $21.88 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $30.90
| Facility | | $13.49 | $13.49 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $37.15 / $45.71
| Professional | | $23.44 | $37.15 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $25.12 / $48.98
| Professional | | $16.22 | $25.12 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $177.83 / $7,079.46
| Facility | | $13.49 | $177.83 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.98 / $26.92
| Professional | | $8.91 | $16.98 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $21.38 / $38.90
| Professional | | $12.59 | $21.38 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $562.34 / $2,818.38
| Facility | | $28.84 | $562.34 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $21.88 / $45.71
| Professional | | $11.22 | $21.88 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,819.70 / $2,818.38
| Facility | | $501.19 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $25.12 / $44.67
| Professional | | $15.14 | $25.12 | $44.67 |