- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.56 / $567.00 / $899.82
| Facility | | $172.56 | $567.00 | $899.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.65 / $163.94 / $289.83
| Professional | | $41.65 | $163.94 | $289.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.14 / $281.89 / $771.85
| Facility | | $182.14 | $281.89 | $771.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $247.14 / $977.61
| Professional | | $147.91 | $247.14 | $977.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.82 / $560.29 / $979.55
| Facility | | $391.82 | $560.29 | $979.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231.73 / $231.73 / $231.73
| Professional | | $231.73 | $231.73 | $231.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.24 / $301.25 / $560.84
| Facility | | $160.24 | $301.25 | $560.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.41 / $236.51 / $642.33
| Professional | | $145.41 | $236.51 | $642.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $355.67 / $355.67 / $418.43
| Professional | | $355.67 | $355.67 | $418.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.52 / $246.52 / $763.45
| Professional | | $246.52 | $246.52 | $763.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.87 / $242.87 / $242.87
| Facility | | $242.87 | $242.87 | $242.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.94 / $1,170.97 / $1,170.97
| Facility | | $428.94 | $1,170.97 | $1,170.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $148.28 / $1,232.59
| Professional | | $147.91 | $148.28 | $1,232.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.54 / $148.28 / $469.88
| Professional | | $103.54 | $148.28 | $469.88 |