- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $123.03 / $251.19
| Facility | | $63.10 | $123.03 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $57.54 / $162.18
| Professional | | $30.20 | $57.54 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64,565.42 / $64,565.42 / $64,565.42
| Professional | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $123.03 / $263.03
| Facility | | $79.43 | $123.03 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $93.33 / $190.55
| Professional | | $48.98 | $93.33 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Professional | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $190.55 / $190.55
| Facility | | $190.55 | $190.55 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $109.65 / $239.88
| Facility | | $63.10 | $109.65 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $60.26 / $131.83
| Professional | | $30.20 | $60.26 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $14.45 / $32.36
| Facility | | $6.46 | $14.45 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.45 / $32.36
| Professional | | $6.46 | $14.45 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $234.42 / $309.03
| Facility | | $131.83 | $234.42 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $114.82
| Professional | | $72.44 | $72.44 | $114.82 |