- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.43 / $702.62 / $1,530.67
| Facility | | $229.43 | $702.62 | $1,530.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.66 / $206.53 / $383.60
| Professional | | $200.66 | $206.53 | $383.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $248.64 / $322.81 / $941.10
| Facility | | $248.64 | $322.81 | $941.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.91 / $362.36 / $1,543.86
| Professional | | $121.91 | $362.36 | $1,543.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.52 / $433.02 / $758.49
| Facility | | $260.52 | $433.02 | $758.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.02 / $728.14 / $1,085.70
| Facility | | $260.02 | $728.14 | $1,085.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $272.55 / $535.97 / $823.29
| Professional | | $272.55 | $535.97 | $823.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.02 / $312.02 / $367.09
| Professional | | $312.02 | $312.02 | $367.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $274.02 / $506.11 / $699.57
| Professional | | $274.02 | $506.11 | $699.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.19 / $593.35 / $834.76
| Facility | | $400.19 | $593.35 | $834.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $799.46 / $799.46 / $799.46
| Professional | | $799.46 | $799.46 | $799.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,623.04 / $2,042.80 / $2,042.80
| Facility | | $1,623.04 | $2,042.80 | $2,042.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.43 / $376.94 / $1,543.86
| Professional | | $117.43 | $376.94 | $1,543.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.12 / $349.78 / $707.32
| Facility | | $213.12 | $349.78 | $707.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.43 / $361.24 / $649.22
| Professional | | $117.43 | $361.24 | $649.22 |