- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $371.54 / $741.31
| Facility | | $169.82 | $371.54 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $457.09 / $457.09 / $457.09
| Facility | 50 | $457.09 | $457.09 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $144.54 / $371.54
| Professional | | $54.95 | $144.54 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $66.07 / $309.03 / $645.65
| Professional | 50 | $66.07 | $309.03 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $338.84 / $758.58
| Facility | | $199.53 | $338.84 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $302.00 / $549.54 / $1,380.38
| Facility | 50 | $302.00 | $549.54 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $223.87 / $501.19
| Professional | | $95.50 | $223.87 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $144.54 / $316.23 / $724.44
| Professional | 50 | $144.54 | $316.23 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $588.84 / $1,412.54
| Facility | | $371.54 | $588.84 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $269.15 / $660.69
| Professional | | $120.23 | $269.15 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $562.34 / $1,096.48
| Facility | | $457.09 | $562.34 | $1,096.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.49 / $229.09 / $588.84
| Professional | | $117.49 | $229.09 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $245.47 / $1,380.38
| Facility | | $83.18 | $245.47 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $204.17 / $537.03 / $1,318.26
| Facility | 50 | $204.17 | $537.03 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $309.03 / $812.83
| Professional | | $131.83 | $309.03 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $1,862.09 / $3,715.35
| Facility | | $467.74 | $1,862.09 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $169.82 / $512.86
| Professional | | $83.18 | $169.82 | $512.86 |