- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.64 / $124.18 / $1,313.20
| Facility | | $49.64 | $124.18 | $1,313.20 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,214.85 / $2,367.16 / $2,816.37
| Facility | 50 | $1,214.85 | $2,367.16 | $2,816.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.93 / $89.55 / $507.60
| Professional | | $48.93 | $89.55 | $507.60 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $70.41 / $156.94 / $398.16
| Professional | 50 | $70.41 | $156.94 | $398.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $41.75 / $3,730.80
| Facility | | $0.98 | $41.75 | $3,730.80 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $1.50 / $1.50
| Facility | 50 | $0.02 | $1.50 | $1.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.62 / $171.83 / $320.26
| Professional | | $96.62 | $171.83 | $320.26 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $141.00 / $257.75 / $465.98
| Professional | 50 | $141.00 | $257.75 | $465.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.29 / $322.50 / $775.81
| Facility | | $227.29 | $322.50 | $775.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.28 / $197.65 / $374.93
| Professional | | $107.28 | $197.65 | $374.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.87 / $294.83 / $610.88
| Facility | | $184.87 | $294.83 | $610.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.22 / $184.46 / $341.65
| Professional | | $106.22 | $184.46 | $341.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.48 / $143.60 / $822.15
| Facility | | $73.48 | $143.60 | $822.15 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $471.94 / $993.34 / $2,367.16
| Facility | 50 | $471.94 | $993.34 | $2,367.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.88 / $179.06 / $483.00
| Professional | | $95.88 | $179.06 | $483.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $470.67 / $470.67 / $470.67
| Professional | 50 | $470.67 | $470.67 | $470.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.00 / $1,727.00 / $2,883.00
| Facility | | $382.00 | $1,727.00 | $2,883.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.44 / $187.76 / $350.49
| Professional | | $100.44 | $187.76 | $350.49 |