- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $190.55 / $1,905.46
| Facility | | $70.79 | $190.55 | $1,905.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $131.83 / $251.19
| Professional | | $61.66 | $131.83 | $251.19 |
- 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
- $85.11 / $208.93 / $549.54
| Professional | | $85.11 | $208.93 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $524.81 / $851.14
| Facility | | $457.09 | $524.81 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $234.42 / $645.65
| Professional | | $83.18 | $234.42 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $158.49 / $2,238.72
| Facility | | $64.57 | $158.49 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.49 / $229.09 / $436.52
| Professional | | $117.49 | $229.09 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $162.18 / $3,235.94
| Facility | | $66.07 | $162.18 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $338.84 / $1,230.27
| Professional | | $141.25 | $338.84 | $1,230.27 |
- 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
- $109.65 / $239.88 / $588.84
| Professional | | $109.65 | $239.88 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $2,951.21 / $2,951.21
| Facility | | $467.74 | $2,951.21 | $2,951.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $380.19 / $1,174.90
| Professional | | $81.28 | $380.19 | $1,174.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $398.11 / $851.14
| Professional | | $229.09 | $398.11 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,630.78 / $6,456.54
| Facility | | $2,884.03 | $3,630.78 | $6,456.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $151.36 / $407.38
| Professional | | $67.61 | $151.36 | $407.38 |