- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.02 / $416.50 / $3,363.00
| Facility | | $133.02 | $416.50 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.52 / $133.02 / $333.75
| Professional | | $82.52 | $133.02 | $333.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.60 / $502.00 / $2,713.00
| Facility | | $133.60 | $502.00 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.07 / $192.86 / $1,045.14
| Professional | | $89.07 | $192.86 | $1,045.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.77 / $120.49 / $215.11
| Facility | | $93.77 | $120.49 | $215.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.41 / $162.60 / $229.52
| Professional | | $106.41 | $162.60 | $229.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.52 / $164.02 / $297.57
| Professional | | $101.52 | $164.02 | $297.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $170.98 / $6,679.00
| Facility | | $83.43 | $170.98 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.44 / $145.88 / $200.89
| Professional | | $120.44 | $145.88 | $200.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.34 / $212.95 / $301.67
| Professional | | $100.34 | $212.95 | $301.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.01 / $250.68 / $586.98
| Facility | | $175.01 | $250.68 | $586.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.45 / $188.00 / $255.44
| Professional | | $101.45 | $188.00 | $255.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.16 / $237.44 / $1,045.14
| Professional | | $125.16 | $237.44 | $1,045.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.97 / $192.52 / $413.15
| Professional | | $123.97 | $192.52 | $413.15 |