- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $229.09 / $323.59
| Facility | | $199.53 | $229.09 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $158.49 / $275.42
| Professional | | $123.03 | $158.49 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $245.47 / $794.33
| Professional | | $147.91 | $245.47 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $549.54 / $776.25
| Facility | | $416.87 | $549.54 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $446.68 / $630.96
| Professional | | $169.82 | $446.68 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $316.23 / $12,882.50
| Facility | | $147.91 | $316.23 | $12,882.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $338.84 / $467.74
| Professional | | $281.84 | $338.84 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $275.42 / $2,041.74
| Facility | | $134.90 | $275.42 | $2,041.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $398.11 / $3,090.30
| Professional | | $190.55 | $398.11 | $3,090.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $190.55
| Professional | | $32.36 | $33.11 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $380.19 / $1,288.25
| Professional | | $199.53 | $380.19 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,584.89 / $1,584.89
| Facility | | $707.95 | $1,584.89 | $1,584.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $1,778.28 / $3,162.28
| Professional | | $223.87 | $1,778.28 | $3,162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.05 / $389.05 / $389.05
| Professional | | $389.05 | $389.05 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $724.44 / $954.99
| Professional | | $323.59 | $724.44 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $8,317.64 / $10,964.78
| Facility | | $8,317.64 | $8,317.64 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $281.84 / $776.25
| Professional | | $165.96 | $281.84 | $776.25 |