- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.82 / $288.25 / $14,464.32
| Facility | | $92.82 | $288.25 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.47 / $121.71 / $278.70
| Professional | | $48.47 | $121.71 | $278.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $700.88 / $700.88
| Facility | | $55.00 | $700.88 | $700.88 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $667.49 / $667.49 / $667.49
| Facility | 50 | $667.49 | $667.49 | $667.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.39 / $234.94 / $2,020.93
| Professional | | $81.39 | $234.94 | $2,020.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.46 / $141.94 / $361.06
| Professional | | $61.46 | $141.94 | $361.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.95 / $128.55 / $360.90
| Facility | | $66.95 | $128.55 | $360.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.56 / $128.62 / $362.73
| Professional | | $70.56 | $128.62 | $362.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $216.22 / $364.68
| Professional | | $36.31 | $216.22 | $364.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.27 / $223.78 / $256.36
| Facility | | $134.27 | $223.78 | $256.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.95 / $173.95 / $174.57
| Facility | | $173.95 | $173.95 | $174.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.73 / $174.57 / $328.56
| Professional | | $90.73 | $174.57 | $328.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.41 / $160.41 / $290.13
| Professional | | $81.41 | $160.41 | $290.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.00 / $666.00 / $6,216.00
| Facility | | $414.00 | $666.00 | $6,216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.92 / $252.59 / $368.82
| Professional | | $126.92 | $252.59 | $368.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.68 / $54.68 / $142.29
| Professional | | $54.68 | $54.68 | $142.29 |