- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $1,584.89 / $7,244.36
| Facility | | $144.54 | $1,584.89 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $141.25 / $416.87
| Professional | | $51.29 | $141.25 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $141.25 / $144.54
| Professional | | $79.43 | $141.25 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,570.40 / $57,543.99
| Facility | | $2,344.23 | $2,570.40 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $239.88 / $281.84
| Professional | | $147.91 | $239.88 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $138.04 / $245.47
| Professional | | $54.95 | $138.04 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $234.42 / $257.04
| Professional | | $181.97 | $234.42 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $186.21 / $251.19
| Professional | | $120.23 | $186.21 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $1,445.44 / $2,818.38
| Facility | | $426.58 | $1,445.44 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $151.36 / $173.78
| Professional | | $147.91 | $151.36 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $1,348.96 / $6,165.95
| Facility | | $144.54 | $1,348.96 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $134.90 / $338.84
| Professional | | $52.48 | $134.90 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $169.82 / $169.82
| Professional | | $169.82 | $169.82 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $151.36 / $309.03
| Facility | | $41.69 | $151.36 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $151.36 / $891.25
| Professional | | $48.98 | $151.36 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,584.89 / $3,890.45
| Facility | | $501.19 | $1,584.89 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $123.03 / $223.87
| Professional | | $53.70 | $123.03 | $223.87 |