- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.57 / $344.98 / $596.22
| Facility | | $203.57 | $344.98 | $596.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.45 / $104.54 / $135.22
| Professional | | $81.45 | $104.54 | $135.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.30 / $93.95 / $93.95
| Professional | | $78.30 | $93.95 | $93.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.80 / $551.62 / $8,639.91
| Facility | | $424.80 | $551.62 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.14 / $122.14 / $122.14
| Professional | | $122.14 | $122.14 | $122.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.92 / $181.60 / $407.12
| Facility | | $102.92 | $181.60 | $407.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.33 / $82.33 / $163.50
| Professional | | $82.33 | $82.33 | $163.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.03 / $92.39 / $212.02
| Professional | | $72.03 | $92.39 | $212.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.00 / $229.69 / $489.90
| Facility | | $146.00 | $229.69 | $489.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.23 / $112.50 / $133.11
| Professional | | $103.23 | $112.50 | $133.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.10 / $343.97 / $646.72
| Facility | | $133.10 | $343.97 | $646.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.59 / $109.61 / $171.30
| Professional | | $85.59 | $109.61 | $171.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.89 / $242.71 / $337.65
| Facility | | $234.89 | $242.71 | $337.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.54 / $188.29 / $454.90
| Facility | | $104.54 | $188.29 | $454.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.33 / $82.33 / $163.50
| Professional | | $82.33 | $82.33 | $163.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.29 / $156.59 / $156.59
| Facility | | $135.29 | $156.59 | $156.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.29 / $156.59 / $156.59
| Professional | | $135.29 | $156.59 | $156.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.64 / $93.95 / $243.09
| Professional | | $62.64 | $93.95 | $243.09 |