- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.51 / $325.55 / $522.20
| Facility | | $146.51 | $325.55 | $522.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.44 / $197.38 / $197.38
| Professional | | $93.44 | $197.38 | $197.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.82 / $376.30 / $547.96
| Facility | | $134.82 | $376.30 | $547.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.22 / $115.36 / $433.18
| Professional | | $69.22 | $115.36 | $433.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.19 / $312.25 / $565.67
| Facility | | $203.19 | $312.25 | $565.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.44 / $108.44 / $137.66
| Professional | | $108.44 | $108.44 | $137.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.61 / $179.89 / $445.37
| Facility | | $80.61 | $179.89 | $445.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.45 / $92.67 / $300.42
| Professional | | $49.45 | $92.67 | $300.42 |
- 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
- $166.63 / $166.63 / $196.03
| Professional | | $166.63 | $166.63 | $196.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.36 / $115.36 / $375.12
| Professional | | $115.36 | $115.36 | $375.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.30 / $235.30 / $235.30
| Facility | | $235.30 | $235.30 | $235.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.73 / $547.96 / $547.96
| Facility | | $200.73 | $547.96 | $547.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.19 / $92.50 / $638.40
| Professional | | $57.19 | $92.50 | $638.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.91 / $69.22 / $79.16
| Facility | | $51.91 | $69.22 | $79.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.37 / $89.10 / $231.31
| Professional | | $55.37 | $89.10 | $231.31 |