- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.97 / $396.76 / $702.73
| Facility | | $137.97 | $396.76 | $702.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.58 / $130.63 / $189.21
| Professional | | $86.58 | $130.63 | $189.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.12 / $204.06 / $485.21
| Facility | | $132.12 | $204.06 | $485.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.90 / $152.08 / $574.38
| Professional | | $86.90 | $152.08 | $574.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.12 / $406.29 / $710.30
| Facility | | $284.12 | $406.29 | $710.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.38 / $185.27 / $185.27
| Professional | | $143.38 | $185.27 | $185.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.98 / $197.72 / $329.53
| Facility | | $112.98 | $197.72 | $329.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.82 / $144.91 / $378.00
| Professional | | $86.82 | $144.91 | $378.00 |
- 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
- $209.10 / $209.10 / $246.00
| Professional | | $209.10 | $209.10 | $246.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.84 / $144.84 / $470.99
| Professional | | $144.84 | $144.84 | $470.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.54 / $191.46 / $369.82
| Facility | | $170.54 | $191.46 | $369.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.02 / $687.99 / $687.99
| Facility | | $252.02 | $687.99 | $687.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.90 / $118.55 / $724.20
| Professional | | $86.90 | $118.55 | $724.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.90 / $111.87 / $278.24
| Professional | | $86.90 | $111.87 | $278.24 |