- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $707.95 / $794.33
| Facility | | $208.93 | $707.95 | $794.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $138.04 / $398.11
| Professional | | $89.13 | $138.04 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $204.17 / $630.96
| Professional | | $131.83 | $204.17 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $436.52 / $691.83
| Facility | | $371.54 | $436.52 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $295.12 / $549.54
| Professional | | $128.82 | $295.12 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $181.97 / $446.68
| Facility | | $102.33 | $181.97 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $281.84 / $380.19
| Professional | | $245.47 | $281.84 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $165.96 / $354.81
| Facility | | $102.33 | $165.96 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $257.04 / $741.31
| Professional | | $141.25 | $257.04 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $154.88
| Professional | | $32.36 | $33.11 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $309.03 / $457.09
| Professional | | $169.82 | $309.03 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $741.31 / $741.31
| Facility | | $288.40 | $741.31 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $588.84 / $741.31
| Professional | | $128.82 | $588.84 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.12 / $295.12 / $295.12
| Professional | | $295.12 | $295.12 | $295.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $524.81 / $851.14
| Professional | | $309.03 | $524.81 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $229.09 / $302.00
| Facility | | $229.09 | $229.09 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $190.55 / $467.74
| Professional | | $138.04 | $190.55 | $467.74 |