- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.66 / $757.87 / $1,004.21
| Facility | | $230.66 | $757.87 | $1,004.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.65 / $230.66 / $296.56
| Professional | | $216.65 | $230.66 | $296.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.47 / $279.99 / $791.28
| Facility | | $243.47 | $279.99 | $791.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.71 / $197.71 / $1,640.96
| Professional | | $197.71 | $197.71 | $1,640.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.91 / $760.65 / $1,329.80
| Facility | | $531.91 | $760.65 | $1,329.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.74 / $309.74 / $326.20
| Professional | | $309.74 | $309.74 | $326.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.50 / $235.60 / $749.63
| Facility | | $205.50 | $235.60 | $749.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $174.74 / $316.20 / $643.11
| Professional | | $174.74 | $316.20 | $643.11 |
- 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
- $475.62 / $475.62 / $559.54
| Professional | | $475.62 | $475.62 | $559.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $329.51 / $329.51 / $1,008.30
| Professional | | $329.51 | $329.51 | $1,008.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $573.35 / $1,565.17 / $1,565.17
| Facility | | $573.35 | $1,565.17 | $1,565.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.71 / $197.71 / $1,640.96
| Professional | | $197.71 | $197.71 | $1,640.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.71 / $197.71 / $197.71
| Facility | | $197.71 | $197.71 | $197.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.71 / $197.71 / $628.07
| Professional | | $197.71 | $197.71 | $628.07 |