- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $270.74 / $712.32
| Facility | | $60.26 | $270.74 | $712.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $13.62 / $47.00
| Professional | | $6.74 | $13.62 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $25.77 / $31.03
| Professional | | $6.12 | $25.77 | $31.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.40 / $13.98 / $17.23
| Professional | | $11.40 | $13.98 | $17.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $20.75 / $284.76
| Facility | | $7.10 | $20.75 | $284.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $14.28 / $20.17
| Professional | | $9.23 | $14.28 | $20.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.26 / $15.41 / $21.62
| Facility | | $10.26 | $15.41 | $21.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.64 / $14.70 / $25.11
| Facility | | $6.64 | $14.70 | $25.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $14.36 / $18.62
| Professional | | $10.44 | $14.36 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.05 / $196.41 / $242.25
| Facility | | $155.05 | $196.41 | $242.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $13.44 / $18.00
| Professional | | $7.56 | $13.44 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.90 / $16.55 / $22.32
| Professional | | $11.90 | $16.55 | $22.32 |