- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $3,090.30 / $5,623.41
| Facility | | $52.48 | $3,090.30 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $57.54 / $165.96
| Professional | | $47.86 | $57.54 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $630.96 / $2,818.38
| Facility | | $125.89 | $630.96 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $79.43 / $812.83
| Professional | | $45.71 | $79.43 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $134.90 / $177.83
| Facility | | $117.49 | $134.90 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $549.54 / $616.60
| Facility | | $123.03 | $549.54 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $104.71 / $181.97
| Professional | | $69.18 | $104.71 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $83.18 / $7,079.46
| Facility | | $52.48 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $61.66 / $87.10
| Professional | | $31.62 | $61.66 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.70 / $89.13 / $138.04
| Professional | | $53.70 | $89.13 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $630.96 / $2,818.38
| Facility | | $125.89 | $630.96 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $79.43 / $812.83
| Professional | | $45.71 | $79.43 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,862.09 / $2,818.38
| Facility | | $630.96 | $1,862.09 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $89.13 / $147.91
| Professional | | $60.26 | $89.13 | $147.91 |