- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.46 / $2,020.00 / $6,762.00
| Facility | | $141.46 | $2,020.00 | $6,762.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.68 / $81.45 / $128.77
| Professional | | $47.68 | $81.45 | $128.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $279.95 / $570.84 / $1,232.57
| Facility | | $279.95 | $570.84 | $1,232.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.09 / $86.05 / $128.29
| Professional | | $51.09 | $86.05 | $128.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.23 / $89.07 / $95.26
| Facility | | $54.23 | $89.07 | $95.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $119.35 / $119.35 / $119.35
| Professional | | $119.35 | $119.35 | $119.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.79 / $47.79 / $93.66
| Facility | | $47.79 | $47.79 | $93.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.63 / $100.02 / $165.94
| Professional | | $57.63 | $100.02 | $165.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $265.38
| Facility | | $55.00 | $55.00 | $265.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $408.00 / $680.48 / $791.40
| Professional | | $408.00 | $680.48 | $791.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.71 / $91.63 / $142.68
| Facility | | $52.71 | $91.63 | $142.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.70 / $106.74 / $170.26
| Professional | | $66.70 | $106.74 | $170.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.71 / $91.63 / $146.71
| Facility | | $52.71 | $91.63 | $146.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $103.80 / $171.12
| Professional | | $60.29 | $103.80 | $171.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $1,142.00 / $2,827.00
| Facility | | $161.00 | $1,142.00 | $2,827.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.17 / $98.62 / $147.66
| Professional | | $73.17 | $98.62 | $147.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.13 / $88.41 / $123.77
| Professional | | $78.13 | $88.41 | $123.77 |