- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.99 / $7,119.04 / $20,928.72
| Facility | | $267.99 | $7,119.04 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $200.99 / $200.99 / $217.94
| Facility | 54 | $200.99 | $200.99 | $217.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $248.53 / $280.93 / $720.90
| Professional | | $248.53 | $280.93 | $720.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $700.21 / $700.21 / $700.21
| Professional | | $700.21 | $700.21 | $700.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,350.61 / $4,406.97 / $8,524.51
| Facility | | $3,350.61 | $4,406.97 | $8,524.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.08 / $464.11 / $632.00
| Professional | | $278.08 | $464.11 | $632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.40 / $193.40 / $193.40
| Facility | | $193.40 | $193.40 | $193.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $394.56 / $674.26 / $932.97
| Professional | | $394.56 | $674.26 | $932.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.99 / $479.46 / $661.80
| Facility | | $267.99 | $479.46 | $661.80 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $956.89 / $956.89 / $956.89
| Facility | 54 | $956.89 | $956.89 | $956.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $370.08 / $616.07 / $2,186.40
| Professional | | $370.08 | $616.07 | $2,186.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.73 / $633.74 / $891.62
| Facility | | $212.73 | $633.74 | $891.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.00 / $657.20 / $891.62
| Professional | | $478.00 | $657.20 | $891.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $370.08 / $663.42 / $797.10
| Professional | | $370.08 | $663.42 | $797.10 |