- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.84 / $608.44 / $897.60
| Facility | | $173.84 | $608.44 | $897.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.38 / $173.84 / $1,380.01
| Professional | | $132.38 | $173.84 | $1,380.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $757.89 / $1,009.93 / $8,459.92
| Facility | | $757.89 | $1,009.93 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.40 / $167.40 / $167.40
| Professional | | $167.40 | $167.40 | $167.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.67 / $316.83 / $711.73
| Facility | | $203.67 | $316.83 | $711.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.82 / $229.09 / $485.08
| Professional | | $98.82 | $229.09 | $485.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.70 / $289.74 / $407.78
| Professional | | $127.70 | $289.74 | $407.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $493.57 / $533.41 / $1,322.63
| Facility | | $493.57 | $533.41 | $1,322.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.43 / $608.44 / $886.38
| Facility | | $182.43 | $608.44 | $886.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $148.84 / $182.43 / $886.38
| Professional | | $148.84 | $182.43 | $886.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $317.64 / $321.93 / $429.24
| Professional | | $317.64 | $321.93 | $429.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.06 / $357.05 / $711.73
| Facility | | $209.06 | $357.05 | $711.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.78 / $229.59 / $485.08
| Professional | | $101.78 | $229.59 | $485.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.62 / $214.62 / $243.20
| Facility | | $214.62 | $214.62 | $243.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $214.62 / $214.62 / $243.20
| Professional | | $214.62 | $214.62 | $243.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.14 / $128.77 / $321.93
| Professional | | $90.14 | $128.77 | $321.93 |