- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $194.98 / $9,772.37
| Facility | | $64.57 | $194.98 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $60.26 / $229.09
| Professional | | $51.29 | $60.26 | $229.09 |
- 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
- $50.12 / $87.10 / $117.49
| Professional | | $50.12 | $87.10 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $77.62 / $109.65
| Professional | | $54.95 | $77.62 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $85.11
| Professional | | $75.86 | $75.86 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $75.86 / $109.65
| Professional | | $56.23 | $75.86 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $1,548.82 / $1,548.82
| Facility | | $1,548.82 | $1,548.82 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $1,862.09 / $9,772.37
| Facility | | $64.57 | $1,862.09 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $67.61 / $162.18
| Professional | | $52.48 | $67.61 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $61.66 / $117.49
| Professional | | $58.88 | $61.66 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $74.13 / $346.74
| Facility | | $45.71 | $74.13 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $74.13 / $169.82
| Professional | | $45.71 | $74.13 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $676.08 / $4,265.80
| Facility | | $144.54 | $676.08 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $74.13 / $117.49
| Professional | | $53.70 | $74.13 | $117.49 |