- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.01 / $474.44 / $20,680.40
| Facility | | $225.01 | $474.44 | $20,680.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $149.69 / $219.29 / $431.46
| Professional | | $149.69 | $219.29 | $431.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $229.87 / $1,300.00
| Facility | | $55.00 | $229.87 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.53 / $381.02 / $1,999.29
| Professional | | $237.53 | $381.02 | $1,999.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.20 / $308.45 / $497.27
| Professional | | $183.20 | $308.45 | $497.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.65 / $336.25 / $418.46
| Facility | | $159.65 | $336.25 | $418.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $159.65 / $329.52 / $431.44
| Professional | | $159.65 | $329.52 | $431.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.49 / $256.10 / $436.51
| Professional | | $42.49 | $256.10 | $436.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $240.10 / $319.45 / $337.01
| Facility | | $240.10 | $319.45 | $337.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.86 / $227.86 / $229.87
| Facility | | $227.86 | $227.86 | $229.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $241.44 / $381.97 / $461.04
| Professional | | $241.44 | $381.97 | $461.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.11 / $330.68 / $433.43
| Professional | | $269.11 | $330.68 | $433.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.00 / $497.00 / $5,793.00
| Facility | | $125.00 | $497.00 | $5,793.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $179.37 / $284.20 / $484.67
| Professional | | $179.37 | $284.20 | $484.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.97 / $172.83 / $172.83
| Professional | | $139.97 | $172.83 | $172.83 |