- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.34 / $132.34 / $512.16
| Facility | | $132.34 | $132.34 | $512.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.34 / $152.05 / $170.88
| Professional | | $132.34 | $152.05 | $170.88 |
- 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
- $244.86 / $321.58 / $321.58
| Professional | | $244.86 | $321.58 | $321.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $196.21 / $196.21 / $390.18
| Facility | | $196.21 | $196.21 | $390.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.22 / $143.22 / $351.75
| Professional | | $143.22 | $143.22 | $351.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $372.08 / $404.43 / $768.42
| Professional | | $372.08 | $404.43 | $768.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.23 / $236.23 / $236.23
| Facility | | $236.23 | $236.23 | $236.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $241.19 / $241.19 / $241.19
| Professional | | $241.19 | $241.19 | $241.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.34 / $132.34 / $512.16
| Facility | | $132.34 | $132.34 | $512.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.34 / $154.87 / $254.98
| Professional | | $132.34 | $154.87 | $254.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $273.89 / $551.60 / $796.80
| Professional | | $273.89 | $551.60 | $796.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $196.21 / $196.21 / $390.18
| Facility | | $196.21 | $196.21 | $390.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.22 / $143.22 / $351.75
| Professional | | $143.22 | $143.22 | $351.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.91 / $306.08 / $306.08
| Facility | | $229.91 | $306.08 | $306.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.91 / $306.08 / $384.95
| Professional | | $229.91 | $306.08 | $384.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.77 / $161.10 / $289.99
| Professional | | $136.77 | $161.10 | $289.99 |