- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.27 / $896.74 / $1,859.53
| Facility | | $27.27 | $896.74 | $1,859.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.23 / $32.40 / $44.93
| Professional | | $26.23 | $32.40 | $44.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.88 / $99.86 / $99.86
| Professional | | $84.88 | $99.86 | $99.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $315.87 / $315.87 / $315.87
| Facility | | $315.87 | $315.87 | $315.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.81 / $64.81 / $64.81
| Facility | | $64.81 | $64.81 | $64.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.19 / $35.19 / $35.19
| Professional | | $35.19 | $35.19 | $35.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.25 / $226.54 / $234.84
| Facility | | $82.25 | $226.54 | $234.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $335.71 / $349.14 / $362.10
| Professional | | $335.71 | $349.14 | $362.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.82 / $45.24 / $79.66
| Facility | | $27.82 | $45.24 | $79.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.13 / $39.13 / $39.13
| Professional | | $39.13 | $39.13 | $39.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.20 / $58.20 / $58.20
| Professional | | $58.20 | $58.20 | $58.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.92 / $45.37 / $80.02
| Facility | | $27.92 | $45.37 | $80.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.19 / $35.19 / $35.19
| Professional | | $35.19 | $35.19 | $35.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.86 / $47.93 / $74.23
| Professional | | $34.86 | $47.93 | $74.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.87 / $190.76 / $257.52
| Professional | | $48.87 | $190.76 | $257.52 |