- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $2,691.53 / $8,317.64
| Facility | | $234.42 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $204.17 / $426.58
| Professional | | $112.20 | $204.17 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $4,466.84 / $57,543.99
| Facility | | $3,801.89 | $4,466.84 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $173.78 / $186.21
| Professional | | $147.91 | $173.78 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $588.84 / $3,890.45
| Facility | | $204.17 | $588.84 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.49 / $194.98 / $363.08
| Professional | | $117.49 | $194.98 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Facility | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $309.03 / $436.52
| Professional | | $229.09 | $309.03 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $213.80 / $354.81
| Professional | | $123.03 | $213.80 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $18,620.87 / $18,620.87
| Facility | | $18,620.87 | $18,620.87 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $1,995.26 / $8,317.64
| Facility | | $239.88 | $1,995.26 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $229.09 / $575.44
| Professional | | $120.23 | $229.09 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $169.82 / $467.74
| Facility | | $154.88 | $169.82 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $389.05 / $467.74
| Professional | | $169.82 | $389.05 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $173.78 / $309.03
| Facility | | $104.71 | $173.78 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $213.80 / $416.87
| Professional | | $89.13 | $213.80 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,398.83 / $9,549.93
| Facility | | $549.54 | $2,398.83 | $9,549.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $173.78 / $295.12
| Professional | | $104.71 | $173.78 | $295.12 |