- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $1,348.96 / $5,128.61
| Facility | | $281.84 | $1,348.96 | $5,128.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $660.69 / $1,122.02 / $2,344.23
| Facility | 50 | $660.69 | $1,122.02 | $2,344.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $69.18 / $169.82
| Professional | | $30.20 | $69.18 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $29.51 / $52.48
| Professional | | $19.50 | $29.51 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $354.81 / $630.96
| Facility | | $131.83 | $354.81 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $63.10 / $151.36
| Professional | | $31.62 | $63.10 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $54.95
| Facility | | $54.95 | $54.95 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $56.23 / $144.54
| Professional | | $33.88 | $56.23 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $77.62 / $1,071.52
| Facility | | $31.62 | $77.62 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $85.11 / $1,659.59
| Professional | | $37.15 | $85.11 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,122.02 / $2,187.76
| Facility | | $338.84 | $1,122.02 | $2,187.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $50.12 / $117.49
| Professional | | $33.11 | $50.12 | $117.49 |