- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $616.60 / $3,388.44
| Facility | | $151.36 | $616.60 | $3,388.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $89.13 / $239.88
| Professional | | $25.12 | $89.13 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $398.11 / $2,818.38
| Facility | | $81.28 | $398.11 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $85.11 / $275.42
| Professional | | $33.88 | $85.11 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $147.91 / $229.09
| Facility | | $39.81 | $147.91 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $91.20 / $263.03
| Professional | | $39.81 | $91.20 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $338.84
| Facility | | $302.00 | $302.00 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $89.13 / $251.19
| Professional | | $29.51 | $89.13 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $66.07 / $7,079.46
| Facility | | $38.02 | $66.07 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $97.72 / $169.82
| Professional | | $57.54 | $97.72 | $169.82 |
- 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
- $37.15 / $104.71 / $263.03
| Professional | | $37.15 | $104.71 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $309.03 / $741.31
| Facility | | $173.78 | $309.03 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $154.88 / $154.88
| Professional | | $151.36 | $154.88 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $407.38 / $2,818.38
| Facility | | $81.28 | $407.38 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $85.11 / $281.84
| Professional | | $34.67 | $85.11 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $338.84 / $512.86
| Facility | | $177.83 | $338.84 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,819.70 / $2,818.38
| Facility | | $501.19 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $79.43 / $218.78
| Professional | | $34.67 | $79.43 | $218.78 |