- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.02 / $466.59 / $615.87
| Facility | | $263.02 | $466.59 | $615.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.23 / $263.02 / $560.08
| Professional | | $189.23 | $263.02 | $560.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $293.08 / $1,000.63
| Facility | | $55.00 | $293.08 | $1,000.63 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $29.79 / $100.06 / $100.06
| Facility | AS | $29.79 | $100.06 | $100.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $310.45 / $518.82 / $2,010.90
| Professional | | $310.45 | $518.82 | $2,010.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,031.00 / $47,402.00 / $49,858.00
| Facility | | $20,031.00 | $47,402.00 | $49,858.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $285.07 / $438.22 / $644.57
| Professional | | $285.07 | $438.22 | $644.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.07 / $446.40 / $563.52
| Facility | | $257.07 | $446.40 | $563.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $271.61 / $446.40 / $563.52
| Professional | | $271.61 | $446.40 | $563.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.21 / $317.65 / $521.74
| Professional | | $50.21 | $317.65 | $521.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.45 / $407.07 / $442.20
| Facility | | $320.45 | $407.07 | $442.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.08 / $293.08 / $301.62
| Facility | | $293.08 | $293.08 | $301.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $310.45 / $503.12 / $618.62
| Professional | | $310.45 | $503.12 | $618.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $298.91 / $433.88 / $584.42
| Professional | | $298.91 | $433.88 | $584.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $879.00 / $1,689.00 / $7,385.00
| Facility | | $879.00 | $1,689.00 | $7,385.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.39 / $455.39 / $631.42
| Professional | | $279.39 | $455.39 | $631.42 |