- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.51 / $150.51 / $582.47
| Facility | | $150.51 | $150.51 | $582.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.51 / $160.28 / $203.02
| Professional | | $150.51 | $160.28 | $203.02 |
- 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
- $256.62 / $337.02 / $337.02
| Professional | | $256.62 | $337.02 | $337.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.07 / $221.07 / $409.58
| Facility | | $221.07 | $221.07 | $409.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.38 / $161.38 / $358.64
| Professional | | $161.38 | $161.38 | $358.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $376.81 / $409.58 / $778.20
| Professional | | $376.81 | $409.58 | $778.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.58 / $227.58 / $227.58
| Professional | | $227.58 | $227.58 | $227.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.51 / $150.51 / $582.47
| Facility | | $150.51 | $150.51 | $582.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.56 / $165.25 / $273.93
| Professional | | $147.56 | $165.25 | $273.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $277.39 / $558.60 / $806.90
| Professional | | $277.39 | $558.60 | $806.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.07 / $221.07 / $409.58
| Facility | | $221.07 | $221.07 | $409.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.38 / $161.38 / $396.00
| Professional | | $161.38 | $161.38 | $396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.06 / $233.06 / $320.77
| Facility | | $233.06 | $233.06 | $320.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $233.06 / $320.77 / $389.84
| Professional | | $233.06 | $320.77 | $389.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.27 / $202.21 / $294.47
| Professional | | $158.27 | $202.21 | $294.47 |