- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $199.53 / $16,595.87
| Facility | | $7.08 | $199.53 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $15.14 / $26.92
| Professional | | $6.03 | $15.14 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $22.39 / $22.39
| Professional | | $21.88 | $22.39 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $158.49 / $323.59
| Facility | | $69.18 | $158.49 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $22.91 / $30.20
| Professional | | $6.92 | $22.91 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $21.38
| Professional | | $21.38 | $21.38 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $23.44
| Professional | | $23.44 | $23.44 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $17.38 / $28.84
| Facility | | $7.41 | $17.38 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $1,202.26 / $3,548.13
| Facility | | $354.81 | $1,202.26 | $3,548.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $16.98 / $27.54
| Professional | | $6.76 | $16.98 | $27.54 |