- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.85 / $476.50 / $14,464.32
| Facility | | $92.85 | $476.50 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.87 / $168.80 / $451.53
| Professional | | $53.87 | $168.80 | $451.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $375.98 / $668.91
| Facility | | $55.00 | $375.98 | $668.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.45 / $384.77 / $1,835.55
| Professional | | $87.45 | $384.77 | $1,835.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.58 / $168.10 / $599.41
| Professional | | $66.58 | $168.10 | $599.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.08 / $149.11 / $409.85
| Facility | | $64.08 | $149.11 | $409.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.08 / $149.11 / $426.02
| Professional | | $64.08 | $149.11 | $426.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.12 / $301.88 / $538.56
| Professional | | $53.12 | $301.88 | $538.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.20 / $336.97 / $424.11
| Facility | | $191.20 | $336.97 | $424.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.27 / $289.27 / $300.33
| Facility | | $289.27 | $289.27 | $300.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.19 / $170.12 / $537.66
| Professional | | $84.19 | $170.12 | $537.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.59 / $164.82 / $520.92
| Professional | | $80.59 | $164.82 | $520.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $546.00 / $5,793.00
| Facility | | $157.00 | $546.00 | $5,793.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $214.82 / $320.87 / $614.65
| Professional | | $214.82 | $320.87 | $614.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.50 / $169.23 / $234.63
| Professional | | $53.50 | $169.23 | $234.63 |