- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.08 / $679.34 / $1,217.69
| Facility | | $299.08 | $679.34 | $1,217.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.45 / $256.36 / $363.17
| Professional | | $226.45 | $256.36 | $363.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.97 / $56.97 / $593.89
| Professional | | $56.97 | $56.97 | $593.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.26 / $427.26 / $427.26
| Facility | | $427.26 | $427.26 | $427.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.89 / $427.26 / $427.26
| Professional | | $311.89 | $427.26 | $427.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.71 / $864.90 / $1,108.28
| Facility | | $512.71 | $864.90 | $1,108.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $249.95 / $623.64 / $2,059.39
| Professional | | $249.95 | $623.64 | $2,059.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.00 / $555.44 / $961.34
| Facility | | $294.00 | $555.44 | $961.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $448.62 / $563.98 / $927.15
| Professional | | $448.62 | $563.98 | $927.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.17 / $421.98 / $774.75
| Professional | | $363.17 | $421.98 | $774.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $522.33 / $1,042.05 / $1,108.28
| Facility | | $522.33 | $1,042.05 | $1,108.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $277.72 / $465.71 / $982.70
| Professional | | $277.72 | $465.71 | $982.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $179.45 / $256.36 / $670.73
| Professional | | $179.45 | $256.36 | $670.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.26 / $491.34 / $491.34
| Facility | | $427.26 | $491.34 | $491.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.17 / $427.26 / $513.53
| Professional | | $363.17 | $427.26 | $513.53 |