- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.52 / $1,114.42 / $1,350.71
| Facility | | $274.52 | $1,114.42 | $1,350.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $215.31 / $261.60 / $274.52
| Professional | | $215.31 | $261.60 | $274.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.91 / $251.91 / $251.91
| Professional | | $251.91 | $251.91 | $251.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.48 / $476.94 / $1,071.39
| Facility | | $306.48 | $476.94 | $1,071.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,556.67 / $1,556.67 / $1,556.67
| Professional | | $1,556.67 | $1,556.67 | $1,556.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $339.11 / $436.00 / $797.71
| Professional | | $339.11 | $436.00 | $797.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $463.81 / $463.81 / $463.81
| Facility | | $463.81 | $463.81 | $463.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.65 / $916.90 / $1,333.82
| Facility | | $332.65 | $916.90 | $1,333.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.51 / $274.52 / $1,333.82
| Professional | | $235.51 | $274.52 | $1,333.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.20 / $521.78 / $1,071.39
| Facility | | $314.20 | $521.78 | $1,071.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,556.67 / $1,556.67 / $1,556.67
| Professional | | $1,556.67 | $1,556.67 | $1,556.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.95 / $322.95 / $394.74
| Facility | | $322.95 | $322.95 | $394.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.95 / $322.95 / $394.74
| Professional | | $322.95 | $322.95 | $394.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.72 / $150.72 / $150.72
| Facility | | $150.72 | $150.72 | $150.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.63 / $193.78 / $591.02
| Professional | | $135.63 | $193.78 | $591.02 |