- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.36 / $188.40 / $589.27
| Facility | | $46.36 | $188.40 | $589.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.36 / $76.59 / $162.76
| Professional | | $46.36 | $76.59 | $162.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.27 / $323.17 / $2,713.00
| Facility | | $87.27 | $323.17 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.20 / $138.16 / $674.40
| Professional | | $58.20 | $138.16 | $674.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.18 / $81.19 / $148.34
| Facility | | $63.18 | $81.19 | $148.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.70 / $133.29 / $206.40
| Professional | | $82.70 | $133.29 | $206.40 |
- 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
- $65.00 / $110.64 / $210.81
| Professional | | $65.00 | $110.64 | $210.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.20 / $199.08 / $6,679.00
| Facility | | $63.20 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.05 / $133.04 / $184.52
| Professional | | $109.05 | $133.04 | $184.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.25 / $145.60 / $262.55
| Professional | | $69.25 | $145.60 | $262.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.77 / $185.23 / $586.98
| Facility | | $98.77 | $185.23 | $586.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.37 / $133.44 / $167.86
| Professional | | $70.37 | $133.44 | $167.86 |
- 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
- $86.98 / $173.75 / $674.40
| Professional | | $86.98 | $173.75 | $674.40 |
- 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
- $84.90 / $128.57 / $277.72
| Professional | | $84.90 | $128.57 | $277.72 |