- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.00 / $472.20 / $983.15
| Facility | | $180.00 | $472.20 | $983.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.70 / $180.00 / $261.00
| Professional | | $102.70 | $180.00 | $261.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.00 / $245.65 / $526.49
| Facility | | $185.00 | $245.65 | $526.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.97 / $277.42 / $917.85
| Professional | | $147.97 | $277.42 | $917.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.50 / $335.00 / $375.00
| Facility | | $301.50 | $335.00 | $375.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.16 / $203.75 / $270.77
| Professional | | $145.16 | $203.75 | $270.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.91 / $78.91 / $236.30
| Professional | | $78.91 | $78.91 | $236.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $87.05 / $8,090.00
| Facility | | $53.00 | $87.05 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.06 / $85.64 / $160.05
| Professional | | $57.06 | $85.64 | $160.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.27 / $222.12 / $302.73
| Professional | | $100.27 | $222.12 | $302.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.81 / $248.04 / $927.21
| Facility | | $207.81 | $248.04 | $927.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.84 / $231.81 / $355.40
| Professional | | $69.84 | $231.81 | $355.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.65 / $245.65 / $526.49
| Facility | | $245.65 | $245.65 | $526.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.97 / $274.27 / $917.85
| Professional | | $147.97 | $274.27 | $917.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $198.82 / $370.15 / $921.38
| Facility | | $198.82 | $370.15 | $921.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $314.63 / $385.58 / $400.00
| Professional | | $314.63 | $385.58 | $400.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.97 / $245.46 / $560.22
| Professional | | $140.97 | $245.46 | $560.22 |