- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $246.26 / $570.54 / $23,173.03
| Facility | | $246.26 | $570.54 | $23,173.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.71 / $246.15 / $293.05
| Professional | | $243.71 | $246.15 | $293.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.82 / $243.82 / $243.82
| Professional | | $243.82 | $243.82 | $243.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.72 / $264.39 / $8,459.92
| Facility | | $225.72 | $264.39 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $252.91 / $252.91 / $252.91
| Professional | | $252.91 | $252.91 | $252.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.92 / $243.71 / $243.71
| Facility | | $229.92 | $243.71 | $243.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.71 / $243.71 / $252.91
| Professional | | $243.71 | $243.71 | $252.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.72 / $239.72 / $304.87
| Professional | | $239.72 | $239.72 | $304.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.36 / $182.36 / $610.14
| Facility | | $182.36 | $182.36 | $610.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $246.26 / $531.53 / $24,349.41
| Facility | | $246.26 | $531.53 | $24,349.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.71 / $246.26 / $380.36
| Professional | | $243.71 | $246.26 | $380.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $371.16 / $484.00
| Professional | | $27.40 | $371.16 | $484.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.92 / $243.71 / $243.71
| Facility | | $229.92 | $243.71 | $243.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.71 / $243.71 / $259.33
| Professional | | $243.71 | $243.71 | $259.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.97 / $223.97 / $259.89
| Facility | | $223.97 | $223.97 | $259.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.97 / $223.97 / $259.89
| Professional | | $223.97 | $223.97 | $259.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.71 / $258.33 / $318.04
| Professional | | $243.71 | $258.33 | $318.04 |