- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $3,801.89 / $9,772.37
| Facility | | $281.84 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $354.81 / $912.01
| Professional | | $204.17 | $354.81 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $389.05 / $776.25
| Professional | | $309.03 | $389.05 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $1,995.26 / $8,912.51
| Facility | | $281.84 | $1,995.26 | $8,912.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $281.84 / $512.86
| Professional | | $281.84 | $281.84 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,819.70 / $50,118.72
| Facility | | $338.84 | $1,819.70 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $457.09 / $1,230.27
| Professional | | $223.87 | $457.09 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $331.13 / $676.08
| Facility | | $204.17 | $331.13 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $489.78 / $707.95
| Professional | | $371.54 | $489.78 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $478.63 / $776.25
| Professional | | $257.04 | $478.63 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,754.23 / $4,897.79
| Facility | | $1,445.44 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $50,118.72 / $75,857.76
| Facility | | $218.78 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.11 / $446.68 / $741.31
| Professional | | $398.11 | $446.68 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,128.61 / $11,481.54
| Facility | | $2,398.83 | $5,128.61 | $11,481.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $316.23 / $812.83
| Professional | | $173.78 | $316.23 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $257.04 / $691.83
| Facility | | $162.18 | $257.04 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $467.74 / $776.25
| Professional | | $257.04 | $467.74 | $776.25 |