- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $1,819.70 / $3,801.89
| Facility | | $102.33 | $1,819.70 | $3,801.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $128.82 / $323.59
| Professional | | $64.57 | $128.82 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $1,071.52 / $13,489.63
| Facility | | $190.55 | $1,071.52 | $13,489.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $112.20 / $275.42
| Professional | | $70.79 | $112.20 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $93.33 / $213.80
| Facility | | $93.33 | $93.33 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $158.49 / $245.47
| Professional | | $93.33 | $158.49 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $120.23 / $269.15
| Professional | | $74.13 | $120.23 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $154.88 / $7,079.46
| Facility | | $70.79 | $154.88 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $128.82 / $181.97
| Professional | | $97.72 | $128.82 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $134.90 / $239.88
| Professional | | $83.18 | $134.90 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $295.12 / $316.23
| Facility | | $128.82 | $295.12 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $131.83 / $151.36
| Professional | | $93.33 | $131.83 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $1,071.52 / $13,489.63
| Facility | | $190.55 | $1,071.52 | $13,489.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $114.82 / $281.84
| Professional | | $70.79 | $114.82 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,819.70 / $2,818.38
| Facility | | $501.19 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $114.82 / $234.42
| Professional | | $70.79 | $114.82 | $234.42 |