- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.36 / $3,854.51 / $8,360.54
| Facility | | $33.36 | $3,854.51 | $8,360.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $33.36 / $1,667.49
| Professional | | $30.32 | $33.36 | $1,667.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.29 / $520.14 / $970.91
| Facility | | $37.29 | $520.14 | $970.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.44 / $33.35 / $392.55
| Professional | | $28.44 | $33.35 | $392.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $24.71 / $30.32
| Facility | | $23.58 | $24.71 | $30.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $30.32 / $30.65
| Professional | | $30.32 | $30.32 | $30.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.47 / $30.05 / $57.30
| Facility | | $27.47 | $30.05 | $57.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.86 / $530.54 / $970.91
| Facility | | $222.86 | $530.54 | $970.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.24 / $28.44 / $392.55
| Professional | | $24.24 | $28.44 | $392.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.35 / $349.01 / $790.03
| Facility | | $33.35 | $349.01 | $790.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.35 / $33.35 / $33.35
| Professional | | $33.35 | $33.35 | $33.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $30.32 / $36.38
| Professional | | $30.32 | $30.32 | $36.38 |