- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.20 / $335.20 / $1,297.22
| Facility | | $335.20 | $335.20 | $1,297.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $306.20 / $354.92 / $486.43
| Professional | | $306.20 | $354.92 | $486.43 |
- 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
- $571.55 / $750.62 / $750.62
| Professional | | $571.55 | $750.62 | $750.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.57 / $485.57 / $782.47
| Facility | | $485.57 | $485.57 | $782.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.47 / $354.47 / $685.16
| Professional | | $354.47 | $354.47 | $685.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $719.87 / $782.47 / $1,486.69
| Professional | | $719.87 | $782.47 | $1,486.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $506.86 / $506.86 / $506.86
| Professional | | $506.86 | $506.86 | $506.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.20 / $335.20 / $1,297.22
| Facility | | $335.20 | $335.20 | $1,297.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $306.20 / $366.51 / $610.05
| Professional | | $306.20 | $366.51 | $610.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530.00 / $1,067.20 / $1,541.60
| Professional | | $530.00 | $1,067.20 | $1,541.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.57 / $485.57 / $782.47
| Facility | | $485.57 | $485.57 | $782.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.47 / $354.47 / $870.38
| Professional | | $354.47 | $354.47 | $870.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.69 / $358.69 / $714.45
| Facility | | $358.69 | $358.69 | $714.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $358.69 / $714.45 / $744.77
| Professional | | $358.69 | $714.45 | $744.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $351.09 / $405.68 / $676.91
| Professional | | $351.09 | $405.68 | $676.91 |