- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.18 / $1,037.92 / $1,596.35
| Facility | | $309.18 | $1,037.92 | $1,596.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.57 / $312.99 / $600.00
| Professional | | $99.57 | $312.99 | $600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.73 / $297.73 / $297.73
| Professional | | $297.73 | $297.73 | $297.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.24 / $564.01 / $1,266.98
| Facility | | $362.24 | $564.01 | $1,266.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.34 / $352.44 / $863.52
| Professional | | $70.34 | $352.44 | $863.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.11 / $515.29 / $1,115.58
| Professional | | $227.11 | $515.29 | $1,115.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.40 / $574.11 / $768.70
| Facility | | $148.40 | $574.11 | $768.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.18 / $1,037.92 / $1,576.42
| Facility | | $309.18 | $1,037.92 | $1,576.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $274.82 / $400.00 / $1,576.42
| Professional | | $274.82 | $400.00 | $1,576.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $564.91 / $572.54 / $763.40
| Professional | | $564.91 | $572.54 | $763.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.52 / $635.04 / $1,266.98
| Facility | | $371.52 | $635.04 | $1,266.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.20 / $361.29 / $863.52
| Professional | | $82.20 | $361.29 | $863.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.14 / $381.70 / $381.70
| Facility | | $168.14 | $381.70 | $381.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.14 / $381.70 / $381.70
| Professional | | $168.14 | $381.70 | $381.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.03 / $229.02 / $534.38
| Professional | | $91.03 | $229.02 | $534.38 |