- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.72 / $277.25 / $351.92
| Facility | | $74.72 | $277.25 | $351.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.72 / $99.47 / $292.68
| Professional | | $74.72 | $99.47 | $292.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.73 / $266.13 / $818.35
| Facility | | $120.73 | $266.13 | $818.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.38 / $139.91 / $664.64
| Professional | | $92.38 | $139.91 | $664.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.60 / $174.44 / $370.06
| Facility | | $124.60 | $174.44 | $370.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.62 / $213.33 / $283.51
| Professional | | $127.62 | $213.33 | $283.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.15 / $383.24 / $430.40
| Facility | | $120.15 | $383.24 | $430.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.52 / $198.77 / $340.97
| Professional | | $122.52 | $198.77 | $340.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.79 / $232.70 / $6,679.00
| Facility | | $110.79 | $232.70 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.64 / $157.50 / $235.77
| Professional | | $124.64 | $157.50 | $235.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.35 / $248.14 / $342.46
| Professional | | $134.35 | $248.14 | $342.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.73 / $173.01 / $255.35
| Professional | | $168.73 | $173.01 | $255.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $246.04 / $547.05 / $547.05
| Facility | | $246.04 | $547.05 | $547.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.86 / $142.66 / $664.64
| Professional | | $95.86 | $142.66 | $664.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.86 / $136.72 / $279.79
| Professional | | $95.86 | $136.72 | $279.79 |