- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.03 / $1,729.74 / $6,012.00
| Facility | | $244.03 | $1,729.74 | $6,012.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.59 / $140.63 / $359.84
| Professional | | $54.59 | $140.63 | $359.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.69 / $3,159.00 / $14,886.03
| Facility | | $2,344.69 | $3,159.00 | $14,886.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.26 / $213.00 / $213.00
| Professional | | $205.26 | $213.00 | $213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.71 / $96.71 / $96.71
| Facility | | $96.71 | $96.71 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.06 / $138.58 / $383.41
| Professional | | $59.06 | $138.58 | $383.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $249.54 / $332.57 / $431.02
| Professional | | $249.54 | $332.57 | $431.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,666.13 / $3,664.98 / $7,070.95
| Facility | | $1,666.13 | $3,664.98 | $7,070.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.49 / $229.49 / $235.70
| Professional | | $229.49 | $229.49 | $235.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.03 / $2,001.26 / $6,877.37
| Facility | | $244.03 | $2,001.26 | $6,877.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.09 / $153.91 / $502.70
| Professional | | $56.09 | $153.91 | $502.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.19 / $162.19 / $515.20
| Professional | | $162.19 | $162.19 | $515.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.71 / $96.71 / $96.71
| Facility | | $96.71 | $96.71 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.06 / $146.87 / $396.07
| Professional | | $59.06 | $146.87 | $396.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.59 / $180.75 / $279.39
| Facility | | $55.59 | $180.75 | $279.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.59 / $211.76 / $234.01
| Professional | | $55.59 | $211.76 | $234.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.00 / $2,391.00 / $4,789.00
| Facility | | $814.00 | $2,391.00 | $4,789.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $196.28 / $280.77 / $461.69
| Professional | | $196.28 | $280.77 | $461.69 |