- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.95 / $275.39 / $478.80
| Facility | | $274.95 | $275.39 | $478.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.16 / $275.00 / $396.00
| Professional | | $161.16 | $275.00 | $396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.00 / $79.00 / $91.00
| Facility | | $79.00 | $79.00 | $91.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.62 / $277.33 / $467.46
| Facility | | $116.62 | $277.33 | $467.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $601.83 / $601.83 / $748.95
| Facility | | $601.83 | $601.83 | $748.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.07 / $624.89 / $1,059.50
| Facility | | $400.07 | $624.89 | $1,059.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.98 / $184.47 / $315.97
| Professional | | $126.98 | $184.47 | $315.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.42 / $131.99 / $131.99
| Professional | | $108.42 | $131.99 | $131.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.60 / $95.20 / $112.00
| Professional | | $33.60 | $95.20 | $112.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $293.87 / $445.88 / $1,087.46
| Professional | | $293.87 | $445.88 | $1,087.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.40 / $228.88 / $411.20
| Professional | | $102.40 | $228.88 | $411.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.71 / $291.04 / $553.34
| Facility | | $225.71 | $291.04 | $553.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.10 / $102.95 / $123.35
| Professional | | $98.10 | $102.95 | $123.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.92 / $78.92 / $78.92
| Facility | | $78.92 | $78.92 | $78.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $299.69 / $400.91 / $727.18
| Professional | | $299.69 | $400.91 | $727.18 |