- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.58 / $120.26 / $14,482.00
| Facility | | $77.58 | $120.26 | $14,482.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.15 / $77.58 / $186.00
| Professional | | $54.15 | $77.58 | $186.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,139.00 / $1,183.00 / $1,530.00
| Facility | | $1,139.00 | $1,183.00 | $1,530.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.21 / $117.84 / $350.02
| Professional | | $61.21 | $117.84 | $350.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.09 / $180.07 / $239.33
| Facility | | $154.09 | $180.07 | $239.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.59 / $163.02 / $224.49
| Professional | | $59.59 | $163.02 | $224.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.08 / $86.02 / $280.00
| Facility | | $57.08 | $86.02 | $280.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.08 / $102.82 / $1,449.00
| Facility | | $57.08 | $102.82 | $1,449.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.56 / $251.37 / $3,468.63
| Professional | | $73.56 | $251.37 | $3,468.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.92 / $70.00 / $163.35
| Professional | | $39.92 | $70.00 | $163.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.08 / $88.26 / $280.00
| Facility | | $57.08 | $88.26 | $280.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.31 / $154.00 / $196.74
| Professional | | $112.31 | $154.00 | $196.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.15 / $817.17 / $1,300.00
| Facility | | $134.15 | $817.17 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.63 / $279.18 / $3,468.63
| Professional | | $103.63 | $279.18 | $3,468.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.38 / $243.38 / $280.35
| Professional | | $243.38 | $243.38 | $280.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.93 / $497.93 / $566.71
| Professional | | $235.93 | $497.93 | $566.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,008.00 / $1,533.00 / $2,202.90
| Facility | | $1,008.00 | $1,533.00 | $2,202.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.03 / $186.59 / $427.21
| Professional | | $70.03 | $186.59 | $427.21 |