- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.30 / $39,413.25 / $105,287.40
| Facility | | $60.30 | $39,413.25 | $105,287.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $66.01 / $54,384.54
| Professional | | $59.41 | $66.01 | $54,384.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.07 / $61.07 / $61.07
| Professional | | $61.07 | $61.07 | $61.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.79 / $64.45 / $8,639.91
| Facility | | $54.79 | $64.45 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $64.45
| Professional | | $61.66 | $61.66 | $64.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.05 / $59.41 / $59.41
| Facility | | $56.05 | $59.41 | $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
- Facility
- Modifier
- Low / Median / High Price
- $44.65 / $72.27 / $203.11
| Facility | | $44.65 | $72.27 | $203.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.07 / $61.07 / $61.07
| Professional | | $61.07 | $61.07 | $61.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.30 / $181.49 / $105,287.40
| Facility | | $60.30 | $181.49 | $105,287.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $68.31 / $52,810.74
| Professional | | $59.41 | $68.31 | $52,810.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.05 / $59.41 / $59.41
| Facility | | $56.05 | $59.41 | $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
- Facility
- Modifier
- Low / Median / High Price
- $59.65 / $59.65 / $69.22
| Facility | | $59.65 | $59.65 | $69.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.65 / $59.65 / $69.22
| Professional | | $59.65 | $59.65 | $69.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.41 / $59.41 / $82.56
| Professional | | $59.41 | $59.41 | $82.56 |