- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.25 / $144.38 / $535.47
| Facility | | $50.25 | $144.38 | $535.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $25.10 / $73.09
| Professional | | $13.82 | $25.10 | $73.09 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $40.35 / $40.35 / $40.35
| Professional | 25 | $40.35 | $40.35 | $40.35 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.22 / $40.22 / $40.22
| Professional | 50 | $40.22 | $40.22 | $40.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,423.00 / $1,466.00 / $1,641.00
| Facility | | $1,423.00 | $1,466.00 | $1,641.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.82 / $21.00 / $32.79
| Professional | | $15.82 | $21.00 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.41 / $174.00 / $327.00
| Facility | | $81.41 | $174.00 | $327.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $24.91 / $42.16
| Professional | | $13.13 | $24.91 | $42.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.89 / $83.46 / $224.29
| Facility | | $26.89 | $83.46 | $224.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $22.60 / $35.18
| Professional | | $14.44 | $22.60 | $35.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.09 / $237.86 / $458.97
| Facility | | $225.09 | $237.86 | $458.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $23.66 / $36.00
| Professional | | $14.44 | $23.66 | $36.00 |