- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.89 / $363.28 / $852.22
| Facility | | $72.89 | $363.28 | $852.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.19 / $85.61 / $168.16
| Professional | | $39.19 | $85.61 | $168.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.42 / $150.68 / $400.40
| Facility | | $117.42 | $150.68 | $400.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.07 / $128.72 / $510.50
| Professional | | $54.07 | $128.72 | $510.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.05 / $340.03 / $631.54
| Facility | | $81.05 | $340.03 | $631.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.63 / $121.01 / $127.44
| Professional | | $52.63 | $121.01 | $127.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.30 / $256.45 / $496.96
| Facility | | $103.30 | $256.45 | $496.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.43 / $135.82 / $347.61
| Professional | | $77.43 | $135.82 | $347.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.78 / $3,472.00 / $9,239.00
| Facility | | $60.78 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.76 / $185.76 / $218.54
| Professional | | $185.76 | $185.76 | $218.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.72 / $128.72 / $398.66
| Professional | | $128.72 | $128.72 | $398.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.80 / $54.80 / $147.97
| Facility | | $54.80 | $54.80 | $147.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.55 / $611.47 / $611.47
| Facility | | $231.55 | $611.47 | $611.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $77.23 / $737.88
| Professional | | $34.72 | $77.23 | $737.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.72 / $77.23 / $245.50
| Professional | | $34.72 | $77.23 | $245.50 |