- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.58 / $106.94 / $7,525.18
| Facility | | $43.58 | $106.94 | $7,525.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.08 / $99.45 / $422.00
| Professional | | $45.08 | $99.45 | $422.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,139.00 / $2,479.00 / $4,441.52
| Facility | | $1,139.00 | $2,479.00 | $4,441.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.23 / $179.19 / $439.14
| Professional | | $78.23 | $179.19 | $439.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.49 / $367.51 / $563.77
| Facility | | $314.49 | $367.51 | $563.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.94 / $132.63 / $344.45
| Professional | | $58.94 | $132.63 | $344.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.85 / $128.36 / $314.01
| Facility | | $51.85 | $128.36 | $314.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.04 / $146.94 / $1,513.00
| Facility | | $57.04 | $146.94 | $1,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.07 / $196.04 / $465.20
| Professional | | $98.07 | $196.04 | $465.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.91 / $95.42 / $219.68
| Professional | | $58.91 | $95.42 | $219.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.85 / $128.36 / $314.01
| Facility | | $51.85 | $128.36 | $314.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.50 / $203.02 / $376.47
| Professional | | $116.50 | $203.02 | $376.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.29 / $134.03 / $236.15
| Facility | | $100.29 | $134.03 | $236.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.28 / $260.20 / $866.64
| Professional | | $66.28 | $260.20 | $866.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $160.78 / $221.22 / $504.04
| Professional | | $160.78 | $221.22 | $504.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,034.00 / $1,590.00 / $2,202.90
| Facility | | $1,034.00 | $1,590.00 | $2,202.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.69 / $165.26 / $398.06
| Professional | | $98.69 | $165.26 | $398.06 |