- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.24 / $424.14 / $14,464.32
| Facility | | $82.24 | $424.14 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.32 / $126.34 / $400.85
| Professional | | $42.32 | $126.34 | $400.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $387.66 / $519.49
| Facility | | $55.00 | $387.66 | $519.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.98 / $385.61 / $1,840.73
| Professional | | $79.98 | $385.61 | $1,840.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.95 / $164.12 / $576.48
| Professional | | $56.95 | $164.12 | $576.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.14 / $143.44 / $414.71
| Facility | | $58.14 | $143.44 | $414.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.49 / $135.00 / $467.52
| Professional | | $59.49 | $135.00 | $467.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.23 / $324.15 / $547.93
| Professional | | $54.23 | $324.15 | $547.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.15 / $340.37 / $426.12
| Facility | | $192.15 | $340.37 | $426.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.64 / $290.64 / $301.25
| Facility | | $290.64 | $290.64 | $301.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.79 / $249.82 / $564.11
| Professional | | $78.79 | $249.82 | $564.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.98 / $164.51 / $483.04
| Professional | | $79.98 | $164.51 | $483.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.00 / $666.00 / $6,216.00
| Facility | | $414.00 | $666.00 | $6,216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.69 / $337.19 / $629.49
| Professional | | $199.69 | $337.19 | $629.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.62 / $46.62 / $238.81
| Professional | | $46.62 | $46.62 | $238.81 |