- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $39.86 / $75.11
| Facility | | $4.13 | $39.86 | $75.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $4.18 / $6.54
| Professional | | $2.54 | $4.18 | $6.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $3.59 / $7.30
| Professional | | $3.44 | $3.59 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $10.81 / $18.77
| Facility | | $8.75 | $10.81 | $18.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $3.37
| Professional | | $3.37 | $3.37 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $5.47 / $13.34
| Facility | | $3.54 | $5.47 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $5.58 / $7.23
| Professional | | $3.33 | $5.58 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.69 / $10.11
| Facility | | $4.00 | $4.69 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $7.34 / $10.00
| Professional | | $7.05 | $7.34 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,368.44 / $2,479.54 / $11,525.05
| Facility | | $2,368.44 | $2,479.54 | $11,525.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.61 / $7.06
| Professional | | $2.59 | $3.61 | $7.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.00 / $60.00 / $100.00
| Facility | | $19.00 | $60.00 | $100.00 |