- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.67 / $229.67 / $888.82
| Facility | | $229.67 | $229.67 | $888.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $228.40 / $263.88 / $344.34
| Professional | | $228.40 | $263.88 | $344.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $424.94 / $558.07 / $558.07
| Professional | | $424.94 | $558.07 | $558.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.04 / $419.04 / $611.97
| Facility | | $419.04 | $419.04 | $611.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $305.89 / $305.89 / $588.92
| Professional | | $305.89 | $305.89 | $588.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563.01 / $611.97 / $1,162.74
| Professional | | $563.01 | $611.97 | $1,162.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.67 / $229.67 / $888.82
| Facility | | $229.67 | $229.67 | $888.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $228.40 / $263.88 / $385.83
| Professional | | $228.40 | $263.88 | $385.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $414.50 / $834.70 / $1,205.70
| Professional | | $414.50 | $834.70 | $1,205.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.04 / $419.04 / $611.97
| Facility | | $419.04 | $419.04 | $611.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $305.89 / $305.89 / $743.25
| Professional | | $305.89 | $305.89 | $743.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.99 / $531.16 / $531.16
| Facility | | $398.99 | $531.16 | $531.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.99 / $531.16 / $610.20
| Professional | | $398.99 | $531.16 | $610.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.66 / $279.58 / $503.27
| Professional | | $230.66 | $279.58 | $503.27 |