- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.46 / $142.02 / $1,266.67
| Facility | | $48.46 | $142.02 | $1,266.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.46 / $127.96 / $308.00
| Professional | | $48.46 | $127.96 | $308.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.06 / $818.35 / $3,445.00
| Facility | | $85.06 | $818.35 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.40 / $127.42 / $704.68
| Professional | | $36.40 | $127.42 | $704.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.44 / $138.72 / $179.89
| Facility | | $115.44 | $138.72 | $179.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.31 / $107.88 / $348.72
| Professional | | $69.31 | $107.88 | $348.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.46 / $168.26 / $6,679.00
| Facility | | $42.46 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.32 / $43.04 / $75.36
| Professional | | $22.32 | $43.04 | $75.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.06 / $85.48 / $113.42
| Professional | | $45.06 | $85.48 | $113.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,239.02 / $1,239.02 / $1,313.64
| Facility | | $1,239.02 | $1,239.02 | $1,313.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.41 / $83.41 / $83.41
| Professional | | $83.41 | $83.41 | $83.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $502.00 / $1,856.00 / $4,142.00
| Facility | | $502.00 | $1,856.00 | $4,142.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.58 / $241.43 / $704.68
| Professional | | $85.58 | $241.43 | $704.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.18 / $196.81 / $363.60
| Professional | | $50.18 | $196.81 | $363.60 |