- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.27 / $145.31 / $35,844.66
| Facility | | $48.27 | $145.31 | $35,844.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $50.34 / $6,186.60
| Professional | | $45.31 | $50.34 | $6,186.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.79 / $49.16 / $8,639.91
| Facility | | $41.79 | $49.16 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.02 / $47.02 / $49.16
| Professional | | $47.02 | $47.02 | $49.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.75 / $45.31 / $45.31
| Facility | | $42.75 | $45.31 | $45.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $45.31 / $45.31
| Professional | | $45.31 | $45.31 | $45.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.42 / $56.69 / $84.79
| Facility | | $32.42 | $56.69 | $84.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.27 / $3,230.87 / $26,324.19
| Facility | | $48.27 | $3,230.87 | $26,324.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $52.10 / $5,784.60
| Professional | | $45.31 | $52.10 | $5,784.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,081.26 / $13,229.17 / $16,643.16
| Facility | | $9,081.26 | $13,229.17 | $16,643.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.75 / $45.31 / $45.31
| Facility | | $42.75 | $45.31 | $45.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $45.31 / $45.31
| Professional | | $45.31 | $45.31 | $45.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.55 / $45.55 / $52.86
| Facility | | $45.55 | $45.55 | $52.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.55 / $45.55 / $52.86
| Professional | | $45.55 | $45.55 | $52.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.31 / $50.75 / $78.09
| Professional | | $45.31 | $50.75 | $78.09 |