- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.65 / $10,122.46 / $27,982.24
| Facility | | $330.65 | $10,122.46 | $27,982.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231.85 / $330.65 / $1,632.38
| Professional | | $231.85 | $330.65 | $1,632.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $400.00 / $3,884.00
| Facility | | $55.00 | $400.00 | $3,884.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $337.00 / $551.39 / $4,385.00
| Professional | | $337.00 | $551.39 | $4,385.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $947.00
| Facility | | $500.00 | $870.49 | $947.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.49 / $517.84 / $761.08
| Professional | | $300.49 | $517.84 | $761.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.89 / $454.53 / $594.03
| Facility | | $222.89 | $454.53 | $594.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $222.89 / $450.57 / $594.97
| Professional | | $222.89 | $450.57 | $594.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $75.00 / $240.36
| Professional | | $30.00 | $75.00 | $240.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.31 / $222.89 / $454.64
| Facility | | $178.31 | $222.89 | $454.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.00 / $400.00 / $400.00
| Facility | | $400.00 | $400.00 | $400.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.00 / $542.70 / $629.95
| Professional | | $400.00 | $542.70 | $629.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $378.25 / $494.36 / $629.00
| Professional | | $378.25 | $494.36 | $629.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $5,793.00
| Facility | | $650.00 | $1,120.00 | $5,793.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.61 / $364.04 / $663.09
| Professional | | $246.61 | $364.04 | $663.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.37 / $245.37 / $255.96
| Professional | | $245.37 | $245.37 | $255.96 |