- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $154.88 / $17,782.79
| Facility | | $64.57 | $154.88 | $17,782.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $75.86 / $147.91
| Professional | | $56.23 | $75.86 | $147.91 |
- 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
- $72.44 / $134.90 / $354.81
| Professional | | $72.44 | $134.90 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $229.09 / $371.54
| Facility | | $199.53 | $229.09 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $125.89 / $288.40
| Professional | | $63.10 | $125.89 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $77.62 / $2,238.72
| Facility | | $52.48 | $77.62 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.15 / $147.91 / $218.78
| Professional | | $107.15 | $147.91 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $79.43 / $3,235.94
| Facility | | $51.29 | $79.43 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $186.21 / $549.54
| Professional | | $81.28 | $186.21 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $85.11
| Professional | | $32.36 | $33.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $154.88 / $257.04
| Professional | | $85.11 | $154.88 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $1,380.38 / $1,380.38
| Facility | | $169.82 | $1,380.38 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $186.21 / $537.03
| Professional | | $63.10 | $186.21 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $295.12 / $380.19
| Professional | | $181.97 | $295.12 | $380.19 |
- 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
- $60.26 / $95.50 / $257.04
| Professional | | $60.26 | $95.50 | $257.04 |