- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.88 / $466.80 / $893.63
| Facility | | $118.88 | $466.80 | $893.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.26 / $86.64 / $212.43
| Professional | | $56.26 | $86.64 | $212.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.64 / $512.58 / $2,713.00
| Facility | | $97.64 | $512.58 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.09 / $136.62 / $597.91
| Professional | | $65.09 | $136.62 | $597.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.22 / $90.23 / $161.08
| Facility | | $70.22 | $90.23 | $161.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $120.85 / $184.04
| Professional | | $11.51 | $120.85 | $184.04 |
- 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
- $77.84 / $124.98 / $226.36
| Professional | | $77.84 | $124.98 | $226.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.42 / $300.00 / $6,679.00
| Facility | | $70.42 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.87 / $116.68 / $161.06
| Professional | | $95.87 | $116.68 | $161.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.80 / $161.13 / $235.32
| Professional | | $76.80 | $161.13 | $235.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.83 / $333.40 / $635.80
| Facility | | $126.83 | $333.40 | $635.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.11 / $141.13 / $199.90
| Professional | | $107.11 | $141.13 | $199.90 |
- 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
- $91.78 / $174.48 / $597.91
| Professional | | $91.78 | $174.48 | $597.91 |
- 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
- $87.45 / $124.23 / $245.34
| Professional | | $87.45 | $124.23 | $245.34 |