- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $188.60 / $542.35 / $976.23
| Facility | | $188.60 | $542.35 | $976.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.24 / $178.57 / $258.64
| Professional | | $104.24 | $178.57 | $258.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.60 / $278.94 / $663.27
| Facility | | $180.60 | $278.94 | $663.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.79 / $207.89 / $785.16
| Professional | | $118.79 | $207.89 | $785.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $388.38 / $555.38 / $970.95
| Facility | | $388.38 | $555.38 | $970.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $253.26 / $253.26 / $253.26
| Professional | | $253.26 | $253.26 | $253.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.43 / $270.25 / $450.42
| Facility | | $154.43 | $270.25 | $450.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.74 / $197.78 / $516.03
| Professional | | $118.74 | $197.78 | $516.03 |
- 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
- $285.64 / $285.64 / $336.06
| Professional | | $285.64 | $285.64 | $336.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.99 / $197.99 / $643.82
| Professional | | $197.99 | $197.99 | $643.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.95 / $245.95 / $255.54
| Facility | | $245.95 | $245.95 | $255.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.50 / $940.45 / $940.45
| Facility | | $344.50 | $940.45 | $940.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.79 / $162.07 / $989.95
| Professional | | $118.79 | $162.07 | $989.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.16 / $118.79 / $380.34
| Professional | | $83.16 | $118.79 | $380.34 |