- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $2,884.03 / $9,772.37
| Facility | | $14.13 | $2,884.03 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $15.14 / $35.48
| Professional | | $6.03 | $15.14 | $35.48 |
- 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
- $17.38 / $22.39 / $51.29
| Professional | | $17.38 | $22.39 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $10.72
| Facility | | $10.72 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $33.88
| Professional | | $10.72 | $10.72 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $53,703.18
| Facility | | $16.60 | $16.60 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $32.36
| Professional | | $21.38 | $21.38 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $19.95 / $52.48
| Facility | | $7.94 | $19.95 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $33.11 / $53.70
| Professional | | $28.18 | $33.11 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $28.18 / $44.67
| Professional | | $17.78 | $28.18 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Facility | | $15.85 | $15.85 | $15.85 |
- 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
- $25.70 / $30.90 / $34.67
| Professional | | $25.70 | $30.90 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $2,754.23 / $4,897.79
| Facility | | $831.76 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $14.13 / $36.31
| Professional | | $5.13 | $14.13 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $7.94
| Facility | | $6.03 | $7.94 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $21.38 / $42.66
| Professional | | $7.94 | $21.38 | $42.66 |