- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $251.19 / $363.08
| Facility | | $199.53 | $251.19 | $363.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $177.83 / $309.03
| Professional | | $138.04 | $177.83 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.18 / $275.42 / $891.25
| Professional | | $162.18 | $275.42 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $549.54 / $870.96
| Facility | | $467.74 | $549.54 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $512.86 / $707.95
| Professional | | $186.21 | $512.86 | $707.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $346.74 / $12,882.50
| Facility | | $162.18 | $346.74 | $12,882.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $380.19 / $512.86
| Professional | | $316.23 | $380.19 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $323.59 / $2,041.74
| Facility | | $147.91 | $323.59 | $2,041.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $426.58 / $3,162.28
| Professional | | $204.17 | $426.58 | $3,162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $234.42
| Professional | | $32.36 | $33.11 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $446.68 / $1,737.80
| Professional | | $229.09 | $446.68 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,584.89 / $1,584.89
| Facility | | $707.95 | $1,584.89 | $1,584.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $1,819.70 / $3,235.94
| Professional | | $251.19 | $1,819.70 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $436.52
| Professional | | $436.52 | $436.52 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $794.33 / $1,174.90
| Professional | | $363.08 | $794.33 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $8,317.64 / $10,964.78
| Facility | | $8,317.64 | $8,317.64 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $316.23 / $870.96
| Professional | | $177.83 | $316.23 | $870.96 |