- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $2,137.96 / $9,120.11
| Facility | | $151.36 | $2,137.96 | $9,120.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $181.97 / $549.54
| Professional | | $104.71 | $181.97 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $177.83 / $478.63
| Professional | | $134.90 | $177.83 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $154.88 / $154.88
| Facility | | $154.88 | $154.88 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $154.88 / $223.87
| Professional | | $154.88 | $154.88 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $794.33 / $10,964.78
| Facility | | $173.78 | $794.33 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $223.87 / $512.86
| Professional | | $123.03 | $223.87 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $208.93 / $371.54
| Facility | | $109.65 | $208.93 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $234.42 / $309.03
| Professional | | $181.97 | $234.42 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $204.17 / $288.40
| Professional | | $141.25 | $204.17 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $870.96 / $2,290.87
| Facility | | $269.15 | $870.96 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $50,118.72 / $75,857.76
| Facility | | $144.54 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $208.93 / $229.09
| Professional | | $173.78 | $208.93 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $3,311.31 / $6,165.95
| Facility | | $1,445.44 | $3,311.31 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $173.78 / $363.08
| Professional | | $109.65 | $173.78 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $147.91 / $489.78
| Facility | | $87.10 | $147.91 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $213.80 / $436.52
| Professional | | $120.23 | $213.80 | $436.52 |