- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $381.98 / $818.29 / $14,464.32
| Facility | | $381.98 | $818.29 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $184.74 / $279.30 / $525.05
| Professional | | $184.74 | $279.30 | $525.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.53 / $1,646.32 / $3,151.02
| Facility | | $155.53 | $1,646.32 | $3,151.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.55 / $583.29 / $2,025.28
| Professional | | $354.55 | $583.29 | $2,025.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.02 / $357.02 / $479.00
| Facility | | $357.02 | $357.02 | $479.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $242.89 / $391.86 / $761.34
| Professional | | $242.89 | $391.86 | $761.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.14 / $359.71 / $684.47
| Facility | | $182.14 | $359.71 | $684.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.28 / $372.60 / $672.21
| Professional | | $183.28 | $372.60 | $672.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.33 / $406.73 / $704.16
| Professional | | $72.33 | $406.73 | $704.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.40 / $522.99 / $557.44
| Facility | | $356.40 | $522.99 | $557.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.53 / $359.68 / $369.26
| Facility | | $155.53 | $359.68 | $369.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $337.24 / $484.71 / $682.71
| Professional | | $337.24 | $484.71 | $682.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,201.98 / $1,646.32 / $3,151.02
| Facility | | $1,201.98 | $1,646.32 | $3,151.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.12 / $470.60 / $666.44
| Professional | | $278.12 | $470.60 | $666.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $648.00 / $4,611.00
| Facility | | $332.00 | $648.00 | $4,611.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.00 / $437.79 / $775.34
| Professional | | $338.00 | $437.79 | $775.34 |