- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.00 / $504.83 / $1,029.30
| Facility | | $205.00 | $504.83 | $1,029.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.56 / $94.58 / $255.09
| Professional | | $58.56 | $94.58 | $255.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.73 / $512.58 / $2,713.00
| Facility | | $104.73 | $512.58 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.81 / $145.57 / $653.60
| Professional | | $69.81 | $145.57 | $653.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.01 / $97.67 / $174.37
| Facility | | $76.01 | $97.67 | $174.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.99 / $148.84 / $241.13
| Professional | | $96.99 | $148.84 | $241.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.00 / $133.18 / $244.64
| Professional | | $79.00 | $133.18 | $244.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.89 / $300.00 / $6,679.00
| Facility | | $75.89 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.47 / $128.66 / $177.85
| Professional | | $105.47 | $128.66 | $177.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.00 / $173.74 / $258.85
| Professional | | $83.00 | $173.74 | $258.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.82 / $315.39 / $623.36
| Facility | | $138.82 | $315.39 | $623.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.93 / $158.65 / $220.03
| Professional | | $98.93 | $158.65 | $220.03 |
- 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
- $93.98 / $187.89 / $653.60
| Professional | | $93.98 | $187.89 | $653.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.55 / $353.24 / $514.09
| Facility | | $62.55 | $353.24 | $514.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $375.28 / $1,078.00 / $2,733.00
| Facility | | $375.28 | $1,078.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.70 / $138.04 / $249.50
| Professional | | $87.70 | $138.04 | $249.50 |