- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.71 / $76.36 / $146.51
| Facility | | $41.71 | $76.36 | $146.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.84 / $22.66 / $5,038.00
| Professional | | $18.84 | $22.66 | $5,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.01 / $31.34 / $51.68
| Facility | | $30.01 | $31.34 | $51.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $19.11 / $48.50
| Professional | | $13.38 | $19.11 | $48.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.76 / $60.82 / $106.92
| Facility | | $23.76 | $60.82 | $106.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.43 / $28.18 / $36.65
| Professional | | $18.43 | $28.18 | $36.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $21.00 / $40.77
| Professional | | $8.92 | $21.00 | $40.77 |