- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.06 / $128.40 / $167.54
| Facility | | $118.06 | $128.40 | $167.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.24 / $147.27 / $210.11
| Professional | | $111.24 | $147.27 | $210.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.91 / $149.37 / $149.37
| Facility | | $138.91 | $149.37 | $149.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.98 / $157.22 / $318.00
| Professional | | $111.98 | $157.22 | $318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.04 / $254.34 / $310.60
| Facility | | $81.04 | $254.34 | $310.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.36 / $106.40 / $185.13
| Professional | | $86.36 | $106.40 | $185.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.68 / $193.06 / $438.87
| Professional | | $130.68 | $193.06 | $438.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.02 / $144.12 / $213.49
| Professional | | $131.02 | $144.12 | $213.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.89 / $144.19 / $228.64
| Professional | | $104.89 | $144.19 | $228.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $547.98 / $586.15 / $586.15
| Facility | | $547.98 | $586.15 | $586.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $777.19 / $1,041.92 / $1,308.83
| Professional | | $777.19 | $1,041.92 | $1,308.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $230.82
| Professional | | $32.34 | $32.34 | $230.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.34 / $156.79 / $221.49
| Facility | | $116.34 | $156.79 | $221.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.00 / $181.00 / $388.63
| Professional | | $113.00 | $181.00 | $388.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $413.61 / $413.61 / $556.66
| Professional | | $413.61 | $413.61 | $556.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.67 / $185.67 / $185.67
| Facility | | $185.67 | $185.67 | $185.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.76 / $177.46 / $608.63
| Professional | | $130.76 | $177.46 | $608.63 |