- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.83 / $269.15 / $6,456.54
| Facility | | $0.83 | $269.15 | $6,456.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $288.40 / $489.78
| Professional | | $123.03 | $288.40 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $4,570.88 / $7,079.46
| Facility | | $2,344.23 | $4,570.88 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $295.12 / $616.60
| Professional | | $190.55 | $295.12 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $977.24 / $1,548.82
| Facility | | $831.76 | $977.24 | $1,548.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $457.09 / $1,096.48
| Professional | | $213.80 | $457.09 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $478.63 / $3,715.35
| Facility | | $151.36 | $478.63 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $398.11 / $891.25
| Professional | | $275.42 | $398.11 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $588.84 / $5,623.41
| Facility | | $144.54 | $588.84 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $549.54 / $2,238.72
| Professional | | $281.84 | $549.54 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $371.54
| Professional | | $32.36 | $33.11 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $426.58 / $1,023.29
| Professional | | $223.87 | $426.58 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $3,715.35 / $3,715.35
| Facility | | $2,511.89 | $3,715.35 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $645.65 / $2,137.96
| Professional | | $177.83 | $645.65 | $2,137.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537.03 / $776.25 / $1,862.09
| Professional | | $537.03 | $776.25 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,801.89 / $6,456.54
| Facility | | $2,884.03 | $3,801.89 | $6,456.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $380.19 / $1,122.02
| Professional | | $141.25 | $380.19 | $1,122.02 |