- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.57 / $136.57 / $528.53
| Facility | | $136.57 | $136.57 | $528.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.57 / $149.96 / $203.88
| Professional | | $136.57 | $149.96 | $203.88 |
- 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
- $232.86 / $305.82 / $305.82
| Professional | | $232.86 | $305.82 | $305.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.02 / $197.02 / $386.43
| Facility | | $197.02 | $197.02 | $386.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.82 / $143.82 / $357.05
| Professional | | $143.82 | $143.82 | $357.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $375.14 / $407.76 / $774.74
| Professional | | $375.14 | $407.76 | $774.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.37 / $229.37 / $229.37
| Professional | | $229.37 | $229.37 | $229.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.57 / $136.57 / $528.53
| Facility | | $136.57 | $136.57 | $528.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.90 / $149.96 / $248.56
| Professional | | $133.90 | $149.96 | $248.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $276.20 / $556.10 / $803.40
| Professional | | $276.20 | $556.10 | $803.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.02 / $197.02 / $386.43
| Facility | | $197.02 | $197.02 | $386.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.82 / $143.82 / $360.38
| Professional | | $143.82 | $143.82 | $360.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.13 / $146.13 / $291.08
| Facility | | $146.13 | $146.13 | $291.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.13 / $291.08 / $388.11
| Professional | | $146.13 | $291.08 | $388.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.63 / $136.63 / $136.63
| Facility | | $136.63 | $136.63 | $136.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.04 / $183.49 / $275.80
| Professional | | $143.04 | $183.49 | $275.80 |