- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $1,905.46 / $3,715.35
| Facility | | $120.23 | $1,905.46 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,047.13 / $1,047.13 / $1,047.13
| Facility | 50 | $1,047.13 | $1,047.13 | $1,047.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $199.53 / $707.95
| Professional | | $87.10 | $199.53 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $147.91 / $588.84 / $1,174.90
| Professional | 50 | $147.91 | $588.84 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $1,071.52 / $13,489.63
| Facility | | $177.83 | $1,071.52 | $13,489.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $204.17 / $588.84
| Professional | | $77.62 | $204.17 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $194.98
| Facility | | $83.18 | $83.18 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $239.88 / $489.78
| Professional | | $123.03 | $239.88 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $257.04 / $575.44
| Professional | | $114.82 | $257.04 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $138.04 / $7,079.46
| Facility | | $67.61 | $138.04 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $309.03 / $426.58
| Professional | | $251.19 | $309.03 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $208.93 / $537.03
| Professional | | $81.28 | $208.93 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $1,071.52 / $13,489.63
| Facility | | $177.83 | $1,071.52 | $13,489.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $204.17 / $588.84
| Professional | | $77.62 | $204.17 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $1,819.70 / $2,818.38
| Facility | | $575.44 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.33 / $229.09 / $562.34
| Professional | | $102.33 | $229.09 | $562.34 |