- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.71 / $334.46 / $7,920.26
| Facility | | $153.71 | $334.46 | $7,920.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.43 / $117.71 / $353.71
| Professional | | $60.43 | $117.71 | $353.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.00 / $550.00 / $550.00
| Facility | | $550.00 | $550.00 | $550.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.99 / $173.20 / $334.42
| Professional | | $97.99 | $173.20 | $334.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.94 / $178.76 / $324.99
| Professional | | $143.94 | $178.76 | $324.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.86 / $158.79 / $281.37
| Facility | | $84.86 | $158.79 | $281.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.51 / $194.30 / $303.29
| Professional | | $111.51 | $194.30 | $303.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.62 / $219.29 / $262.01
| Facility | | $124.62 | $219.29 | $262.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.86 / $158.79 / $345.81
| Facility | | $84.86 | $158.79 | $345.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.24 / $195.63 / $329.66
| Professional | | $120.24 | $195.63 | $329.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,265.38 / $2,911.98 / $3,609.89
| Facility | | $2,265.38 | $2,911.98 | $3,609.89 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,398.07 / $4,367.97 / $5,414.84
| Facility | 50 | $3,398.07 | $4,367.97 | $5,414.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.08 / $216.09 / $354.64
| Professional | | $126.08 | $216.09 | $354.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,106.00 / $2,385.00 / $7,480.00
| Facility | | $1,106.00 | $2,385.00 | $7,480.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.32 / $238.60 / $417.38
| Professional | | $169.32 | $238.60 | $417.38 |