- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.48 / $90.62 / $8,307.60
| Facility | | $48.48 | $90.62 | $8,307.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.77 / $57.84 / $8,018.62
| Professional | | $45.77 | $57.84 | $8,018.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.32 / $156.63 / $257.25
| Facility | | $39.32 | $156.63 | $257.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.81 / $46.27 / $306.61
| Professional | | $31.81 | $46.27 | $306.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.23 / $45.31 / $45.31
| Facility | | $45.23 | $45.31 | $45.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $45.31 / $45.31
| Professional | | $45.31 | $45.31 | $45.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.80 / $75.19 / $90.51
| Facility | | $47.80 | $75.19 | $90.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.80 / $47.80 / $52.73
| Professional | | $47.80 | $47.80 | $52.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $45.31 / $45.31
| Professional | | $45.31 | $45.31 | $45.31 |