- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $436.52 / $436.52
| Facility | | $190.55 | $436.52 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $131.83 / $190.55
| Professional | | $112.20 | $131.83 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $501.19
| Professional | | $9.55 | $9.55 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $512.86 / $812.83
| Facility | | $436.52 | $512.86 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $239.88 / $501.19
| Professional | | $181.97 | $239.88 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $549.54 / $933.25
| Facility | | $83.18 | $549.54 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $144.54 / $758.58
| Facility | | $83.18 | $144.54 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $95.50 / $288.40
| Professional | | $79.43 | $95.50 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $85.11
| Professional | | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $371.54 / $524.81
| Professional | | $204.17 | $371.54 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $323.59 / $758.58
| Facility | | $323.59 | $323.59 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $338.84 / $338.84
| Professional | | $338.84 | $338.84 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $870.96 / $870.96 / $870.96
| Professional | | $870.96 | $870.96 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $128.82 / $190.55
| Facility | | $128.82 | $128.82 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $95.50 / $309.03
| Professional | | $67.61 | $95.50 | $309.03 |