- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.06 / $3,013.68 / $9,696.65
| Facility | | $80.06 | $3,013.68 | $9,696.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $80.06 / $473.68
| Professional | | $30.32 | $80.06 | $473.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.82 / $46.09 / $65.39
| Facility | | $27.82 | $46.09 | $65.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.41 / $26.41 / $26.41
| Professional | | $26.41 | $26.41 | $26.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $30.32 / $30.32
| Facility | | $23.58 | $30.32 | $30.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $30.32 / $392.55
| Professional | | $30.32 | $30.32 | $392.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.08 / $80.06 / $431.81
| Facility | | $36.08 | $80.06 | $431.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.94 / $89.94 / $89.94
| Professional | | $89.94 | $89.94 | $89.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $32.14 / $40.02
| Professional | | $30.32 | $32.14 | $40.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $392.55 / $392.55 / $1,527.75
| Facility | | $392.55 | $392.55 | $1,527.75 |