- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.01 / $138.80 / $85,094.17
| Facility | | $60.01 | $138.80 | $85,094.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $61.81 / $55,018.98
| Professional | | $59.41 | $61.81 | $55,018.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.27 / $94.90 / $223.85
| Facility | | $62.27 | $94.90 | $223.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.70 / $140.80
| Professional | | $59.41 | $59.70 | $140.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.40 / $80.09 / $108.14
| Facility | | $64.40 | $80.09 | $108.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.41 / $148.55
| Professional | | $59.41 | $59.41 | $148.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.05 / $56.05 / $59.41
| Facility | | $56.05 | $56.05 | $59.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.41 / $59.41
| Professional | | $59.41 | $59.41 | $59.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.47 / $71.29 / $134.63
| Professional | | $53.47 | $71.29 | $134.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.90 / $289.05 / $297.05
| Facility | | $76.90 | $289.05 | $297.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.05 / $59.41 / $84.49
| Facility | | $56.05 | $59.41 | $84.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.41 / $128.50
| Professional | | $59.41 | $59.41 | $128.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.14 / $102.14 / $102.14
| Professional | | $102.14 | $102.14 | $102.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.53 / $65.36 / $101.00
| Professional | | $47.53 | $65.36 | $101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.41 / $146.49
| Professional | | $59.41 | $59.41 | $146.49 |