- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $258.64 / $604.94 / $75,580.56
| Facility | | $258.64 | $604.94 | $75,580.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $331.60
| Professional | | $258.64 | $258.64 | $331.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.55 / $280.60 / $8,459.92
| Facility | | $239.55 | $280.60 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.39 / $268.39 / $268.39
| Professional | | $268.39 | $268.39 | $268.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $258.64 / $258.64
| Facility | | $244.00 | $258.64 | $258.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $268.39
| Professional | | $258.64 | $258.64 | $268.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $248.13 / $248.13 / $323.54
| Professional | | $248.13 | $248.13 | $323.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $664.24 / $687.28 / $724.26
| Facility | | $664.24 | $687.28 | $724.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.02 / $263.02 / $276.68
| Professional | | $263.02 | $263.02 | $276.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.10 / $634.47 / $75,580.56
| Facility | | $261.10 | $634.47 | $75,580.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $261.23 / $459.23
| Professional | | $258.64 | $261.23 | $459.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $182.10 / $442.20
| Professional | | $27.40 | $182.10 | $442.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $258.64 / $258.64
| Facility | | $244.00 | $258.64 | $258.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $268.83
| Professional | | $258.64 | $258.64 | $268.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.65 / $213.65 / $247.92
| Facility | | $213.65 | $213.65 | $247.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.65 / $213.65 / $247.92
| Professional | | $213.65 | $213.65 | $247.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $274.16 / $337.53
| Professional | | $258.64 | $274.16 | $337.53 |