- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $10,471.29 / $22,908.68
| Facility | | $3,715.35 | $10,471.29 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $43.65 / $162.18
| Professional | | $33.88 | $43.65 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $57.54 / $1,122.02
| Facility | | $44.67 | $57.54 | $1,122.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $72.44 / $141.25
| Professional | | $50.12 | $72.44 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $100.00 / $1,862.09
| Facility | | $63.10 | $100.00 | $1,862.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $69.18 / $131.83
| Professional | | $47.86 | $69.18 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $51.29 / $109.65
| Professional | | $41.69 | $51.29 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $48.98 / $89.13
| Professional | | $36.31 | $48.98 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $42.66 / $79.43
| Professional | | $33.11 | $42.66 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,288.25
| Facility | | $54.95 | $56.23 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $363.08 / $363.08
| Professional | | $288.40 | $363.08 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $63.10 / $63.10
| Professional | | $63.10 | $63.10 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $52.48 / $91.20
| Facility | | $38.90 | $52.48 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $51.29 / $109.65
| Professional | | $41.69 | $51.29 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $131.83
| Professional | | $131.83 | $131.83 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $74.13 / $125.89
| Professional | | $29.51 | $74.13 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $6,165.95 / $18,620.87
| Facility | | $1,995.26 | $6,165.95 | $18,620.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $48.98 / $114.82
| Professional | | $34.67 | $48.98 | $114.82 |