- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.53 / $153.53 / $594.16
| Facility | | $153.53 | $153.53 | $594.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.69 / $169.87 / $252.51
| Professional | | $152.69 | $169.87 | $252.51 |
- 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
- $284.07 / $373.06 / $373.06
| Professional | | $284.07 | $373.06 | $373.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.02 / $291.02 / $399.47
| Facility | | $291.02 | $291.02 | $399.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $212.45 / $212.45 / $349.79
| Professional | | $212.45 | $212.45 | $349.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $367.51 / $399.47 / $758.99
| Professional | | $367.51 | $399.47 | $758.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.91 / $251.91 / $279.80
| Professional | | $251.91 | $251.91 | $279.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.53 / $153.53 / $594.16
| Facility | | $153.53 | $153.53 | $594.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.69 / $179.66 / $284.07
| Professional | | $152.69 | $179.66 | $284.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $270.60 / $544.79 / $787.00
| Professional | | $270.60 | $544.79 | $787.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.02 / $291.02 / $399.47
| Facility | | $291.02 | $291.02 | $399.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $212.45 / $212.45 / $544.88
| Professional | | $212.45 | $212.45 | $544.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.72 / $355.09 / $355.09
| Facility | | $266.72 | $355.09 | $355.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $266.72 / $355.09 / $447.47
| Professional | | $266.72 | $355.09 | $447.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.40 / $184.46 / $215.10
| Facility | | $143.40 | $184.46 | $215.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.19 / $187.98 / $336.43
| Professional | | $154.19 | $187.98 | $336.43 |