- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.03 / $529.37 / $821.31
| Facility | | $138.03 | $529.37 | $821.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.56 / $138.03 / $227.20
| Professional | | $130.56 | $138.03 | $227.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.78 / $220.98 / $605.07
| Facility | | $142.78 | $220.98 | $605.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $197.19 / $766.36
| Professional | | $115.95 | $197.19 | $766.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.21 / $413.28 / $767.60
| Facility | | $108.21 | $413.28 | $767.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.19 / $197.19 / $197.19
| Professional | | $197.19 | $197.19 | $197.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.61 / $236.15 / $439.64
| Facility | | $125.61 | $236.15 | $439.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.54 / $203.73 / $503.40
| Professional | | $99.54 | $203.73 | $503.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.64 / $278.64 / $327.82
| Professional | | $278.64 | $278.64 | $327.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $193.25 / $193.25 / $598.48
| Professional | | $193.25 | $193.25 | $598.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.86 / $302.86 / $302.86
| Facility | | $302.86 | $302.86 | $302.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.26 / $1,189.41 / $1,189.41
| Facility | | $336.26 | $1,189.41 | $1,189.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $118.31 / $966.25
| Professional | | $115.95 | $118.31 | $966.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $118.31 / $345.16
| Professional | | $115.95 | $118.31 | $345.16 |