- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.54 / $4,466.84 / $5,495.41
| Facility | | $1,412.54 | $4,466.84 | $5,495.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $60.26 / $158.49
| Professional | | $25.12 | $60.26 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $229.09 / $602.56
| Facility | | $81.28 | $229.09 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $117.49 / $169.82
| Professional | | $46.77 | $117.49 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $69.18 / $83.18 / $257.04
| Professional | 50 | $69.18 | $83.18 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $53.70 / $128.82
| Professional | | $33.11 | $53.70 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $60.26 / $1,412.54
| Facility | | $38.90 | $60.26 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $66.07 / $177.83
| Professional | | $41.69 | $66.07 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $446.68 / $630.96
| Facility | | $363.08 | $446.68 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $60.26 / $181.97
| Professional | | $43.65 | $60.26 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $83.18 / $371.54
| Professional | | $44.67 | $83.18 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $8,317.64 / $9,332.54
| Facility | | $1,819.70 | $8,317.64 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $66.07 / $125.89
| Professional | | $37.15 | $66.07 | $125.89 |