- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $758.58 / $7,943.28
| Facility | | $446.68 | $758.58 | $7,943.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $331.13 / $691.83
| Professional | | $251.19 | $331.13 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $77.62
| Facility | | $77.62 | $77.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $549.54 / $851.14
| Professional | | $309.03 | $549.54 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562.34 / $724.44 / $870.96
| Professional | | $562.34 | $724.44 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $446.68 / $707.95
| Facility | | $295.12 | $446.68 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $537.03 / $812.83
| Professional | | $426.58 | $537.03 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $575.44 / $645.65
| Facility | | $416.87 | $575.44 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $446.68 / $676.08
| Facility | | $295.12 | $446.68 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $575.44 / $831.76
| Professional | | $79.43 | $575.44 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $741.31 / $891.25
| Facility | | $562.34 | $741.31 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446.68 / $630.96 / $891.25
| Professional | | $446.68 | $630.96 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $1,202.26 / $6,165.95
| Facility | | $389.05 | $1,202.26 | $6,165.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $549.54 / $812.83
| Professional | | $371.54 | $549.54 | $812.83 |