- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.69 / $150.69 / $583.16
| Facility | | $150.69 | $150.69 | $583.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.09 / $173.13 / $207.05
| Professional | | $139.09 | $173.13 | $207.05 |
- 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
- $278.80 / $366.14 / $366.14
| Professional | | $278.80 | $366.14 | $366.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.89 / $243.89 / $355.41
| Facility | | $243.89 | $243.89 | $355.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.04 / $178.04 / $437.25
| Professional | | $178.04 | $178.04 | $437.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $326.98 / $355.41 / $675.28
| Professional | | $326.98 | $355.41 | $675.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.69 / $150.69 / $583.16
| Facility | | $150.69 | $150.69 | $583.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.09 / $173.13 / $266.83
| Professional | | $139.09 | $173.13 | $266.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $240.70 / $462.70 / $700.20
| Professional | | $240.70 | $462.70 | $700.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.89 / $243.89 / $355.41
| Facility | | $243.89 | $243.89 | $355.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.04 / $178.04 / $437.25
| Professional | | $178.04 | $178.04 | $437.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.77 / $348.50 / $348.50
| Facility | | $261.77 | $348.50 | $348.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $261.77 / $348.50 / $358.87
| Professional | | $261.77 | $348.50 | $358.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.90 / $183.43 / $329.04
| Professional | | $146.90 | $183.43 | $329.04 |