- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $416.87 / $3,388.44
| Facility | | $83.18 | $416.87 | $3,388.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $128.82 / $426.58
| Professional | | $52.48 | $128.82 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $562.34 / $4,786.30
| Facility | | $56.23 | $562.34 | $4,786.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $134.90 / $331.13
| Professional | | $61.66 | $134.90 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $66.07 / $154.88
| Facility | | $66.07 | $66.07 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $138.04 / $295.12
| Professional | | $66.07 | $138.04 | $295.12 |
- 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
- $64.57 / $134.90 / $281.84
| Professional | | $64.57 | $134.90 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $177.83 / $7,079.46
| Facility | | $57.54 | $177.83 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $190.55 / $275.42
| Professional | | $147.91 | $190.55 | $275.42 |
- 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
- $69.18 / $151.36 / $354.81
| Professional | | $69.18 | $151.36 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $251.19 / $602.56
| Facility | | $162.18 | $251.19 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $562.34 / $4,786.30
| Facility | | $56.23 | $562.34 | $4,786.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $134.90 / $338.84
| Professional | | $61.66 | $134.90 | $338.84 |
- 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
- $72.44 / $144.54 / $309.03
| Professional | | $72.44 | $144.54 | $309.03 |