- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $1,778.28 / $7,244.36
| Facility | | $102.33 | $1,778.28 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $91.20 / $281.84
| Professional | | $40.74 | $91.20 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $66.07 / $123.03
| Professional | | $54.95 | $66.07 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,570.40 / $57,543.99
| Facility | | $2,344.23 | $2,570.40 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $173.78 / $177.83
| Professional | | $67.61 | $173.78 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $93.33 / $169.82
| Professional | | $52.48 | $93.33 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $204.17 / $229.09
| Professional | | $158.49 | $204.17 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $134.90 / $213.80
| Professional | | $51.29 | $134.90 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $812.83 / $1,819.70
| Facility | | $549.54 | $812.83 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $1,584.89 / $7,244.36
| Facility | | $104.71 | $1,584.89 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $95.50 / $251.19
| Professional | | $44.67 | $95.50 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $87.10 / $223.87
| Facility | | $87.10 | $87.10 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.20 / $144.54 / $275.42
| Professional | | $91.20 | $144.54 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $83.18 / $114.82
| Facility | | $43.65 | $83.18 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $83.18 / $114.82
| Professional | | $41.69 | $83.18 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $812.83 / $3,890.45
| Facility | | $223.87 | $812.83 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $79.43 / $144.54
| Professional | | $45.71 | $79.43 | $144.54 |