- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,454.71 / $7,585.78
| Facility | | $537.03 | $2,454.71 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $138.04 / $295.12
| Professional | | $41.69 | $138.04 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $2,691.53 / $4,365.16
| Facility | | $1,023.29 | $2,691.53 | $4,365.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $239.88 / $316.23
| Professional | | $39.81 | $239.88 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $223.87
| Facility | | $38.02 | $38.02 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Facility | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $169.82 / $380.19
| Professional | | $47.86 | $169.82 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,288.25
| Facility | | $54.95 | $56.23 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,737.80 / $1,737.80 / $1,949.84
| Professional | | $1,737.80 | $1,737.80 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $194.98 / $660.69
| Facility | | $43.65 | $194.98 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $138.04 / $389.05
| Professional | | $41.69 | $138.04 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $35.48 / $181.97
| Professional | | $32.36 | $35.48 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $316.23 / $467.74
| Professional | | $30.20 | $316.23 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $144.54 / $354.81
| Facility | | $42.66 | $144.54 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $165.96 / $398.11
| Professional | | $50.12 | $165.96 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $1,047.13 / $2,691.53
| Facility | | $154.88 | $1,047.13 | $2,691.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $125.89 / $275.42
| Professional | | $41.69 | $125.89 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $223.87 / $263.03
| Professional | | $213.80 | $223.87 | $263.03 |