- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $2,951.21 / $7,762.47
| Facility | | $194.98 | $2,951.21 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.33 / $165.96 / $407.38
| Professional | | $102.33 | $165.96 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $177.83 / $416.87
| Professional | | $138.04 | $177.83 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $165.96 / $6,165.95
| Facility | | $165.96 | $165.96 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $165.96 / $251.19
| Professional | | $165.96 | $165.96 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $199.53 / $53,703.18
| Facility | | $34.67 | $199.53 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.15 / $194.98 / $407.38
| Professional | | $107.15 | $194.98 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $131.83 / $380.19
| Facility | | $109.65 | $131.83 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $245.47 / $501.19
| Professional | | $204.17 | $245.47 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $194.98 / $331.13
| Professional | | $134.90 | $194.98 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $194.98 / $199.53
| Professional | | $165.96 | $194.98 | $199.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $50,118.72 / $75,857.76
| Facility | | $173.78 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $263.03 / $398.11
| Professional | | $204.17 | $263.03 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $2,754.23 / $4,897.79
| Facility | | $831.76 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $147.91 / $331.13
| Professional | | $79.43 | $147.91 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $125.89 / $398.11
| Facility | | $95.50 | $125.89 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $208.93 / $426.58
| Professional | | $134.90 | $208.93 | $426.58 |