- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $436.52 / $870.96
| Facility | | $61.66 | $436.52 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $234.42 / $741.31
| Professional | | $61.66 | $234.42 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $316.23 / $933.25
| Facility | | $223.87 | $316.23 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $263.03 / $1,122.02
| Professional | | $87.10 | $263.03 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $602.56 / $851.14
| Facility | | $478.63 | $602.56 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $81.28 / $81.28
| Professional | | $81.28 | $81.28 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $234.42 / $588.84
| Facility | | $75.86 | $234.42 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.18 / $288.40 / $776.25
| Professional | | $162.18 | $288.40 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.52 / $436.52 / $512.86
| Professional | | $436.52 | $436.52 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $501.19
| Professional | | $302.00 | $302.00 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $316.23 / $933.25
| Facility | | $223.87 | $316.23 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $263.03 / $1,122.02
| Professional | | $87.10 | $263.03 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $269.15 / $302.00
| Facility | | $79.43 | $269.15 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $181.97 / $537.03
| Professional | | $52.48 | $181.97 | $537.03 |