- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.44 / $454.33 / $784.75
| Facility | | $245.44 | $454.33 | $784.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.44 / $245.44 / $245.44
| Professional | | $245.44 | $245.44 | $245.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.35 / $63.35 / $278.79
| Professional | | $63.35 | $63.35 | $278.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.35 / $275.35 / $275.35
| Facility | | $275.35 | $275.35 | $275.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $201.01 / $275.35 / $275.35
| Professional | | $201.01 | $275.35 | $275.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.42 / $581.69 / $714.41
| Facility | | $330.42 | $581.69 | $714.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $335.34 / $1,327.19 / $1,327.19
| Professional | | $335.34 | $1,327.19 | $1,327.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.35 / $357.96 / $619.54
| Facility | | $275.35 | $357.96 | $619.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $289.12 / $363.46 / $597.51
| Professional | | $289.12 | $363.46 | $597.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.05 / $275.35 / $499.29
| Professional | | $234.05 | $275.35 | $499.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.42 / $671.72 / $714.41
| Facility | | $330.42 | $671.72 | $714.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.98 / $300.13 / $633.30
| Professional | | $178.98 | $300.13 | $633.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.65 / $165.21 / $417.31
| Professional | | $115.65 | $165.21 | $417.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.35 / $316.64 / $316.64
| Facility | | $275.35 | $316.64 | $316.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.05 / $275.35 / $330.95
| Professional | | $234.05 | $275.35 | $330.95 |