- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.36 / $35.36 / $65.79
| Facility | | $34.36 | $35.36 | $65.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.53 / $37.10 / $55.52
| Professional | | $27.53 | $37.10 | $55.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.16 / $328.02 / $1,044.16
| Facility | | $58.16 | $328.02 | $1,044.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.68 / $58.01 / $1,219.67
| Professional | | $26.68 | $58.01 | $1,219.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $774.29 / $900.02 / $1,148.63
| Facility | | $774.29 | $900.02 | $1,148.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.11 / $56.13 / $126.89
| Professional | | $46.11 | $56.13 | $126.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.70 / $1,311.39 / $2,862.47
| Facility | | $575.70 | $1,311.39 | $2,862.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.61 / $53.09 / $93.17
| Professional | | $32.61 | $53.09 | $93.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.45 / $83.43 / $6,679.00
| Facility | | $29.45 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.71 / $28.16 / $45.68
| Professional | | $14.71 | $28.16 | $45.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.72 / $60.90 / $81.65
| Professional | | $30.72 | $60.90 | $81.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $188.70 / $188.70 / $198.05
| Professional | | $188.70 | $188.70 | $198.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.02 / $557.58 / $557.58
| Facility | | $328.02 | $557.58 | $557.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.14 / $66.25 / $1,219.67
| Professional | | $33.14 | $66.25 | $1,219.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.72 / $56.52 / $103.74
| Professional | | $30.72 | $56.52 | $103.74 |