- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $645.65 / $1,698.24
| Facility | | $70.79 | $645.65 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,096.48 / $10,964.78 / $10,964.78
| Facility | 50 | $1,096.48 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $208.93 / $549.54
| Professional | | $66.07 | $208.93 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $93.33 / $245.47 / $741.31
| Professional | 50 | $93.33 | $245.47 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $199.53 / $309.03
| Facility | | $1.00 | $199.53 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $0.02 / $0.02
| Facility | 50 | $0.02 | $0.02 | $0.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $281.84 / $724.44
| Professional | | $123.03 | $281.84 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $181.97 / $407.38 / $1,047.13
| Professional | 50 | $181.97 | $407.38 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $851.14 / $2,089.30
| Facility | | $501.19 | $851.14 | $2,089.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $269.15 / $831.76
| Professional | | $91.20 | $269.15 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $831.76 / $1,659.59
| Facility | | $676.08 | $831.76 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.54 / $323.59 / $831.76
| Professional | | $144.54 | $323.59 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $239.88 / $691.83
| Facility | | $89.13 | $239.88 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $1,412.54
| Facility | 50 | $1,230.27 | $1,230.27 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $467.74 / $3,235.94
| Professional | | $199.53 | $467.74 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $134.90 / $954.99 / $1,047.13
| Professional | 50 | $134.90 | $954.99 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,862.09 / $3,715.35
| Facility | | $602.56 | $1,862.09 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $223.87 / $645.65
| Professional | | $77.62 | $223.87 | $645.65 |