- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.04 / $617.19 / $867.63
| Facility | | $168.04 | $617.19 | $867.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $163.89 / $170.75 / $1,333.97
| Professional | | $163.89 | $170.75 | $1,333.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.56 / $1,302.65 / $8,459.92
| Facility | | $977.56 | $1,302.65 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.82 / $161.82 / $161.82
| Professional | | $161.82 | $161.82 | $161.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $196.88 / $306.67 / $688.91
| Facility | | $196.88 | $306.67 | $688.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.17 / $222.23 / $469.53
| Professional | | $109.17 | $222.23 | $469.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.44 / $280.07 / $394.17
| Professional | | $123.44 | $280.07 | $394.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $584.74 / $602.54 / $629.53
| Facility | | $584.74 | $602.54 | $629.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.34 / $588.98 / $867.63
| Facility | | $176.34 | $588.98 | $867.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.60 / $191.98 / $856.81
| Professional | | $155.60 | $191.98 | $856.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.04 / $311.19 / $414.92
| Professional | | $307.04 | $311.19 | $414.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $201.82 / $345.15 / $688.91
| Facility | | $201.82 | $345.15 | $688.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.81 / $239.58 / $469.53
| Professional | | $122.81 | $239.58 | $469.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.46 / $207.46 / $313.69
| Facility | | $207.46 | $207.46 | $313.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.46 / $207.46 / $313.69
| Professional | | $207.46 | $207.46 | $313.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.13 / $124.48 / $316.99
| Professional | | $87.13 | $124.48 | $316.99 |