- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $2,089.30 / $7,079.46
| Facility | | $158.49 | $2,089.30 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $151.36 / $363.08
| Professional | | $83.18 | $151.36 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $3,981.07 / $4,466.84
| Facility | | $3,090.30 | $3,981.07 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $213.80 / $416.87
| Professional | | $91.20 | $213.80 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $95.50 / $2,570.40
| Professional | | $81.28 | $95.50 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $616.60 / $707.95
| Facility | | $323.59 | $616.60 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $151.36 / $380.19
| Professional | | $91.20 | $151.36 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.42 / $331.13 / $549.54
| Professional | | $234.42 | $331.13 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $151.36 / $346.74
| Professional | | $134.90 | $151.36 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $154.88 / $371.54
| Facility | | $87.10 | $154.88 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $91.20 / $234.42
| Professional | | $91.20 | $91.20 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $107.15 / $676.08
| Facility | | $85.11 | $107.15 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.89 / $190.55 / $776.25
| Professional | | $125.89 | $190.55 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $2,818.38 / $5,754.40
| Facility | | $512.86 | $2,818.38 | $5,754.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.62 / $128.82 / $239.88
| Professional | | $77.62 | $128.82 | $239.88 |