- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.28 / $145.28 / $562.23
| Facility | | $145.28 | $145.28 | $562.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.66 / $170.01 / $282.41
| Professional | | $132.66 | $170.01 | $282.41 |
- 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
- $268.80 / $353.01 / $353.01
| Professional | | $268.80 | $353.01 | $353.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.50 / $229.50 / $389.70
| Facility | | $229.50 | $229.50 | $389.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.54 / $167.54 / $341.24
| Professional | | $167.54 | $167.54 | $341.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $358.52 / $389.70 / $740.43
| Professional | | $358.52 | $389.70 | $740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.45 / $366.45 / $1,631.54
| Facility | | $366.45 | $366.45 | $1,631.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $238.37 / $238.37 / $264.76
| Professional | | $238.37 | $238.37 | $264.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.28 / $145.28 / $562.23
| Facility | | $145.28 | $145.28 | $562.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.06 / $170.01 / $289.01
| Professional | | $113.06 | $170.01 | $289.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.40 / $263.89 / $767.80
| Professional | | $146.40 | $263.89 | $767.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.50 / $229.50 / $389.70
| Facility | | $229.50 | $229.50 | $389.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.54 / $167.54 / $491.63
| Professional | | $167.54 | $167.54 | $491.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.12 / $244.12 / $336.00
| Facility | | $244.12 | $244.12 | $336.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.12 / $336.00 / $370.93
| Professional | | $244.12 | $336.00 | $370.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.51 / $178.04 / $308.43
| Professional | | $142.51 | $178.04 | $308.43 |