- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.78 / $79.56 / $4,252.70
| Facility | | $28.78 | $79.56 | $4,252.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.87 / $30.25 / $31.53
| Professional | | $27.87 | $30.25 | $31.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.32 / $20.32 / $23.51
| Professional | | $20.32 | $20.32 | $23.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.93 / $36.36 / $87.05
| Facility | | $22.93 | $36.36 | $87.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.56 / $38.47 / $51.63
| Professional | | $22.56 | $38.47 | $51.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.75 / $24.75 / $35.42
| Facility | | $24.75 | $24.75 | $35.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.32 / $23.70 / $47.40
| Professional | | $20.32 | $23.70 | $47.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $16.26 / $22.35
| Professional | | $4.05 | $16.26 | $22.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $19.87 / $47.31
| Professional | | $13.54 | $19.87 | $47.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.54 / $20.32 / $20.32
| Professional | | $17.54 | $20.32 | $20.32 |