- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $239.88 / $8,511.38
| Facility | | $7.08 | $239.88 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $14.13 / $25.70
| Professional | | $6.03 | $14.13 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $22.39
| Professional | | $21.88 | $21.88 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $16.60 / $21.38
| Professional | | $9.12 | $16.60 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $8.71 / $10.00
| Facility | | $5.89 | $8.71 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $20.89 / $29.51
| Professional | | $7.94 | $20.89 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $16.60
| Facility | | $16.60 | $16.60 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $21.38 / $112.20
| Professional | | $10.47 | $21.38 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $165.96
| Professional | | $32.36 | $33.11 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $602.56 / $3,162.28
| Facility | | $50.12 | $602.56 | $3,162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $15.85 / $31.62
| Professional | | $7.59 | $15.85 | $31.62 |