- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.28 / $529.37 / $821.31
| Facility | | $135.28 | $529.37 | $821.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.06 / $135.28 / $297.61
| Professional | | $127.06 | $135.28 | $297.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.78 / $220.98 / $605.07
| Facility | | $142.78 | $220.98 | $605.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $194.50 / $766.36
| Professional | | $115.95 | $194.50 | $766.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.72 / $423.72 / $767.60
| Facility | | $275.72 | $423.72 | $767.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.66 / $181.66 / $181.66
| Professional | | $181.66 | $181.66 | $181.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.61 / $150.72 / $439.64
| Facility | | $125.61 | $150.72 | $439.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.53 / $203.73 / $503.40
| Professional | | $100.53 | $203.73 | $503.40 |
- 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
- $278.64 / $278.64 / $327.82
| Professional | | $278.64 | $278.64 | $327.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $193.25 / $193.25 / $598.48
| Professional | | $193.25 | $193.25 | $598.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.39 / $190.39 / $190.39
| Facility | | $190.39 | $190.39 | $190.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.26 / $917.94 / $917.94
| Facility | | $336.26 | $917.94 | $917.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $115.95 / $966.25
| Professional | | $115.95 | $115.95 | $966.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.17 / $115.95 / $338.19
| Professional | | $81.17 | $115.95 | $338.19 |