- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.48 / $5,116.62 / $20,680.40
| Facility | | $70.48 | $5,116.62 | $20,680.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.69 / $70.48 / $79.91
| Professional | | $42.69 | $70.48 | $79.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,186.14 / $1,934.75 / $3,703.07
| Facility | | $1,186.14 | $1,934.75 | $3,703.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.24 / $151.52 / $2,023.30
| Professional | | $88.24 | $151.52 | $2,023.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $449.17 / $449.17 / $748.32
| Facility | | $449.17 | $449.17 | $748.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $201.59 / $201.59 / $201.59
| Professional | | $201.59 | $201.59 | $201.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $473.07 / $684.49 / $2,947.23
| Facility | | $473.07 | $684.49 | $2,947.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $421.74 / $504.18 / $900.31
| Professional | | $421.74 | $504.18 | $900.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Professional | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.02 / $441.60 / $652.00
| Facility | | $39.02 | $441.60 | $652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.26 / $91.51 / $306.32
| Facility | | $82.26 | $91.51 | $306.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.23 / $141.72 / $169.96
| Professional | | $92.23 | $141.72 | $169.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.56 / $1,934.75 / $3,703.07
| Facility | | $1,412.56 | $1,934.75 | $3,703.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.24 / $428.31 / $617.19
| Professional | | $88.24 | $428.31 | $617.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.00 / $1,106.00 / $4,911.00
| Facility | | $591.00 | $1,106.00 | $4,911.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.05 / $100.87 / $165.11
| Professional | | $57.05 | $100.87 | $165.11 |