- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.87 / $489.60 / $13,841.56
| Facility | | $245.87 | $489.60 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $184.40 / $184.40 / $202.97
| Facility | 54 | $184.40 | $184.40 | $202.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $221.74 / $270.62 / $1,283.63
| Professional | | $221.74 | $270.62 | $1,283.63 |
- 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
- $258.98 / $429.77 / $588.60
| Professional | | $258.98 | $429.77 | $588.60 |
- 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
- $364.73 / $619.96 / $831.15
| Professional | | $364.73 | $619.96 | $831.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.87 / $446.52 / $721.56
| Facility | | $245.87 | $446.52 | $721.56 |
- Facility/Professional
- Facility
- Modifier
- 54
- Low / Median / High Price
- $885.90 / $885.90 / $885.90
| Facility | 54 | $885.90 | $885.90 | $885.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.25 / $563.15 / $2,018.88
| Professional | | $340.25 | $563.15 | $2,018.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.73 / $583.66 / $815.50
| Facility | | $212.73 | $583.66 | $815.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466.00 / $599.24 / $815.50
| Professional | | $466.00 | $599.24 | $815.50 |
- 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
- $340.25 / $581.04 / $732.84
| Professional | | $340.25 | $581.04 | $732.84 |