- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $234.29 / $388.58
| Facility | | $95.50 | $234.29 | $388.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.75 / $142.56 / $228.80
| Professional | | $99.75 | $142.56 | $228.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.81 / $355.41 / $668.04
| Facility | | $116.81 | $355.41 | $668.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.16 / $204.76 / $810.58
| Professional | | $131.16 | $204.76 | $810.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $262.33 / $282.49 / $524.67
| Facility | | $262.33 | $282.49 | $524.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.26 / $34.40 / $55.63
| Professional | | $27.26 | $34.40 | $55.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.43 / $173.26 / $322.68
| Facility | | $112.43 | $173.26 | $322.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.99 / $231.94 / $412.18
| Professional | | $142.99 | $231.94 | $412.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.18 / $122.52 / $204.35
| Professional | | $51.18 | $122.52 | $204.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.78 / $354.32 / $488.45
| Professional | | $186.78 | $354.32 | $488.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.41 / $95.00 / $204.22
| Facility | | $15.41 | $95.00 | $204.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.83 / $93.00 / $119.01
| Professional | | $15.83 | $93.00 | $119.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.20 / $668.04 / $668.04
| Facility | | $268.20 | $668.04 | $668.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.19 / $209.37 / $810.58
| Professional | | $150.19 | $209.37 | $810.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.95 / $165.40 / $419.11
| Facility | | $115.95 | $165.40 | $419.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.00 / $165.40 / $630.34
| Professional | | $95.00 | $165.40 | $630.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.06 / $193.99 / $364.02
| Professional | | $150.06 | $193.99 | $364.02 |