- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $269.15 / $512.86
| Facility | | $93.33 | $269.15 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.15 / $162.18 / $575.44
| Professional | | $107.15 | $162.18 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $446.68 / $1,023.29
| Facility | | $147.91 | $446.68 | $1,023.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.54 / $208.93 / $602.56
| Professional | | $144.54 | $208.93 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $363.08 / $478.63
| Facility | | $263.03 | $363.08 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $295.12 / $407.38
| Professional | | $177.83 | $295.12 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $190.55 / $478.63
| Facility | | $134.90 | $190.55 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $223.87 / $489.78
| Professional | | $123.03 | $223.87 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $154.88 / $257.04
| Professional | | $63.10 | $154.88 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $281.84 / $501.19
| Professional | | $186.21 | $281.84 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $125.89 / $281.84
| Facility | | $31.62 | $125.89 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $91.20 / $537.03
| Professional | | $31.62 | $91.20 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $446.68 / $1,023.29
| Facility | | $147.91 | $446.68 | $1,023.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.54 / $208.93 / $602.56
| Professional | | $144.54 | $208.93 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.15 / $234.42 / $501.19
| Facility | | $107.15 | $234.42 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $190.55 / $426.58
| Professional | | $190.55 | $190.55 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $125.89 / $229.09
| Facility | | $63.10 | $125.89 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $223.87 / $501.19
| Professional | | $147.91 | $223.87 | $501.19 |