- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $398.11 / $7,762.47
| Facility | | $64.57 | $398.11 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $60.26 / $154.88
| Professional | | $39.81 | $60.26 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $32.36 / $54.95
| Professional | | $8.71 | $32.36 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,258.93 / $57,543.99
| Facility | | $1,174.90 | $1,258.93 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $61.66 / $107.15
| Professional | | $58.88 | $61.66 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $54.95 / $104.71
| Professional | | $37.15 | $54.95 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $109.65
| Professional | | $79.43 | $79.43 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $64.57 / $114.82
| Professional | | $42.66 | $64.57 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $302.00 / $1,621.81
| Facility | | $208.93 | $302.00 | $1,621.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $57.54 / $81.28
| Professional | | $56.23 | $57.54 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $524.81 / $7,762.47
| Facility | | $66.07 | $524.81 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $64.57 / $147.91
| Professional | | $39.81 | $64.57 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.49 / $269.15 / $269.15
| Professional | | $117.49 | $269.15 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $58.88 / $891.25
| Facility | | $40.74 | $58.88 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $58.88 / $112.20
| Professional | | $40.74 | $58.88 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $1,174.90 / $3,890.45
| Facility | | $223.87 | $1,174.90 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $56.23 / $95.50
| Professional | | $37.15 | $56.23 | $95.50 |