- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $1,819.70 / $3,630.78
| Facility | | $204.17 | $1,819.70 | $3,630.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $144.54 / $354.81
| Professional | | $66.07 | $144.54 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $338.84 / $426.58 / $1,230.27
| Professional | 50 | $338.84 | $426.58 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $1,862.09 / $15,135.61
| Facility | | $169.82 | $1,862.09 | $15,135.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $165.96 / $478.63
| Professional | | $67.61 | $165.96 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $190.55
| Facility | | $83.18 | $83.18 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $190.55 / $416.87
| Professional | | $83.18 | $190.55 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $165.96 / $346.74
| Professional | | $81.28 | $165.96 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $141.25 / $7,079.46
| Facility | | $67.61 | $141.25 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $251.19 / $309.03
| Professional | | $204.17 | $251.19 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,511.89 / $7,079.46
| Facility | | $1,096.48 | $2,511.89 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $177.83 / $446.68
| Professional | | $79.43 | $177.83 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $912.01 / $1,230.27
| Facility | | $575.44 | $912.01 | $1,230.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $138.04 / $281.84
| Professional | | $128.82 | $138.04 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $1,862.09 / $15,135.61
| Facility | | $169.82 | $1,862.09 | $15,135.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $165.96 / $478.63
| Professional | | $67.61 | $165.96 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $2,344.23 / $6,165.95
| Facility | | $954.99 | $2,344.23 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $165.96 / $426.58
| Professional | | $69.18 | $165.96 | $426.58 |