- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $2,691.53 / $8,317.64
| Facility | | $275.42 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $74.13 / $380.19
| Professional | | $43.65 | $74.13 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $75.86
| Professional | | $75.86 | $75.86 | $75.86 |
- 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
- $79.43 / $125.89 / $147.91
| Professional | | $79.43 | $125.89 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $77.62 / $125.89
| Professional | | $46.77 | $77.62 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $123.03 / $134.90
| Professional | | $95.50 | $123.03 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $97.72 / $151.36
| Professional | | $63.10 | $97.72 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $79.43 / $85.11
| Professional | | $72.44 | $79.43 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $2,089.30 / $7,762.47
| Facility | | $478.63 | $2,089.30 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $81.28 / $251.19
| Professional | | $44.67 | $81.28 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $95.50 / $95.50
| Professional | | $95.50 | $95.50 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $51.29 / $104.71
| Facility | | $6.03 | $51.29 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $70.79 / $104.71
| Professional | | $22.91 | $70.79 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $645.65 / $4,265.80
| Facility | | $144.54 | $645.65 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $72.44 / $120.23
| Professional | | $44.67 | $72.44 | $120.23 |