- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.52 / $307.80 / $508.70
| Facility | | $98.52 | $307.80 | $508.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.01 / $100.10 / $207.81
| Professional | | $90.01 | $100.10 | $207.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $572.24 / $762.54 / $8,459.92
| Facility | | $572.24 | $762.54 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.87 / $94.87 / $94.87
| Professional | | $94.87 | $94.87 | $94.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.43 / $179.46 / $403.13
| Facility | | $115.43 | $179.46 | $403.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.19 / $129.93 / $274.76
| Professional | | $71.19 | $129.93 | $274.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.37 / $164.20 / $231.10
| Professional | | $72.37 | $164.20 | $231.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.22 / $284.37 / $461.77
| Facility | | $138.22 | $284.37 | $461.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.39 / $307.80 / $508.70
| Facility | | $103.39 | $307.80 | $508.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.22 / $136.16 / $502.33
| Professional | | $91.22 | $136.16 | $502.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,347.58 / $1,392.48 / $1,937.10
| Facility | | $1,347.58 | $1,392.48 | $1,937.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $180.01 / $182.44 / $243.26
| Professional | | $180.01 | $182.44 | $243.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.38 / $202.35 / $403.13
| Facility | | $118.38 | $202.35 | $403.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.91 / $129.93 / $274.76
| Professional | | $71.91 | $129.93 | $274.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.63 / $121.63 / $182.25
| Facility | | $121.63 | $121.63 | $182.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.63 / $121.63 / $182.25
| Professional | | $121.63 | $121.63 | $182.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.08 / $74.56 / $191.51
| Professional | | $51.08 | $74.56 | $191.51 |