- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.56 / $834.96 / $1,231.76
| Facility | | $238.56 | $834.96 | $1,231.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.94 / $241.51 / $1,893.76
| Professional | | $217.94 | $241.51 | $1,893.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,387.74 / $1,849.24 / $8,459.92
| Facility | | $1,387.74 | $1,849.24 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.73 / $229.73 / $229.73
| Professional | | $229.73 | $229.73 | $229.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $279.50 / $434.86 / $976.86
| Facility | | $279.50 | $434.86 | $976.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.15 / $315.12 / $665.78
| Professional | | $155.15 | $315.12 | $665.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.24 / $397.60 / $559.59
| Professional | | $175.24 | $397.60 | $559.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.16 / $828.63 / $968.60
| Facility | | $391.16 | $828.63 | $968.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.56 / $800.86 / $1,216.36
| Facility | | $238.56 | $800.86 | $1,216.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.94 / $272.54 / $1,216.36
| Professional | | $217.94 | $272.54 | $1,216.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $435.89 / $441.78 / $589.04
| Professional | | $435.89 | $441.78 | $589.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.82 / $489.99 / $976.86
| Facility | | $286.82 | $489.99 | $976.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $174.27 / $340.33 / $665.78
| Professional | | $174.27 | $340.33 | $665.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.52 / $294.52 / $445.31
| Facility | | $294.52 | $294.52 | $445.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $294.52 / $294.52 / $445.31
| Professional | | $294.52 | $294.52 | $445.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.70 / $176.71 / $464.43
| Professional | | $123.70 | $176.71 | $464.43 |