- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $562.34 / $229,086.77
| Facility | | $229.09 | $562.34 | $229,086.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $229.09 / $316.23
| Professional | | $223.87 | $229.09 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $245.47 / $5,011.87
| Facility | | $208.93 | $245.47 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $234.42 / $245.47
| Professional | | $229.09 | $234.42 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $223.87
| Facility | | $223.87 | $223.87 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $223.87
| Professional | | $223.87 | $223.87 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $223.87
| Facility | | $223.87 | $223.87 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $389.05 / $389.05
| Professional | | $338.84 | $389.05 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $275.42 / $275.42
| Facility | | $275.42 | $275.42 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $562.34 / $234,422.88
| Facility | | $229.09 | $562.34 | $234,422.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $229.09 / $630.96
| Professional | | $223.87 | $229.09 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $257.04 / $263.03
| Facility | | $33.11 | $257.04 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $257.04 / $263.03
| Professional | | $33.11 | $257.04 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $223.87
| Facility | | $223.87 | $223.87 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $223.87 / $309.03
| Professional | | $223.87 | $223.87 | $309.03 |