- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.72 / $468.78 / $1,313.55
| Facility | | $27.72 | $468.78 | $1,313.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $2.75 / $17.32
| Professional | | $2.59 | $2.75 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.15 / $2.94 / $5.80
| Facility | | $1.15 | $2.94 | $5.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $1.49 / $1.49
| Professional | | $1.49 | $1.49 | $1.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $12.22 / $953.62
| Facility | | $5.93 | $12.22 | $953.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.61 / $540.61 / $540.61
| Facility | | $540.61 | $540.61 | $540.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $14.28
| Facility | | $2.75 | $2.75 | $14.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $2.75
| Professional | | $2.75 | $2.75 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,178.56 / $2,178.56 / $2,178.56
| Professional | | $2,178.56 | $2,178.56 | $2,178.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $4.75 / $7.35
| Facility | | $2.59 | $4.75 | $7.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $22.39 / $31.33
| Professional | | $14.55 | $22.39 | $31.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $3.24 / $19.93
| Facility | | $2.59 | $3.24 | $19.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $5.86
| Professional | | $2.75 | $2.75 | $5.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $2.70 / $2.78
| Professional | | $2.70 | $2.70 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.56 / $0.71 / $8.41
| Professional | | $0.56 | $0.71 | $8.41 |