- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $954.99 / $1,548.82
| Facility | | $436.52 | $954.99 | $1,548.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $389.05 / $489.78
| Professional | | $275.42 | $389.05 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $69.18 / $478.63
| Professional | | $69.18 | $69.18 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $512.86 / $512.86
| Facility | | $512.86 | $512.86 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $512.86 / $512.86
| Professional | | $371.54 | $512.86 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $1,096.48 / $1,318.26
| Facility | | $331.13 | $1,096.48 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $588.84 / $2,454.71 / $2,454.71
| Professional | | $588.84 | $2,454.71 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $831.76 / $1,949.84
| Facility | | $512.86 | $831.76 | $1,949.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $309.03 / $977.24
| Professional | | $239.88 | $309.03 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $512.86 / $575.44
| Professional | | $316.23 | $512.86 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $954.99 / $50,118.72
| Facility | | $660.69 | $954.99 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $457.09 / $616.60
| Facility | | $309.03 | $457.09 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $309.03 / $758.58
| Professional | | $213.80 | $309.03 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $512.86 / $588.84
| Facility | | $309.03 | $512.86 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $512.86 / $588.84
| Professional | | $309.03 | $512.86 | $588.84 |