- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $2,630.27 / $7,413.10
| Facility | | $34.67 | $2,630.27 | $7,413.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $39.81 / $125.89
| Professional | | $12.02 | $39.81 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $47.86 / $91.20
| Professional | | $33.88 | $47.86 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $35.48
| Facility | | $35.48 | $35.48 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $64.57
| Professional | | $35.48 | $35.48 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $53,703.18
| Facility | | $38.90 | $38.90 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $38.02 / $102.33
| Professional | | $15.85 | $38.02 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $56.23 / $102.33
| Facility | | $25.12 | $56.23 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $67.61 / $109.65
| Professional | | $56.23 | $67.61 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $56.23 / $83.18
| Professional | | $22.39 | $56.23 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $58.88 / $95.50
| Facility | | $58.88 | $58.88 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $60.26 / $67.61
| Professional | | $47.86 | $60.26 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,754.23 / $4,897.79
| Facility | | $1,096.48 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $35.48 / $66.07
| Professional | | $19.05 | $35.48 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $26.92 / $223.87
| Facility | | $19.95 | $26.92 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $56.23 / $173.78
| Professional | | $22.91 | $56.23 | $173.78 |