- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $512.86 / $851.14
| Facility | | $213.80 | $512.86 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $165.96 / $407.38
| Professional | | $131.83 | $165.96 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $977.24 / $5,011.87
| Facility | | $741.31 | $977.24 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $158.49 / $331.13
| Professional | | $158.49 | $158.49 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $331.13 / $691.83
| Facility | | $199.53 | $331.13 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $177.83 / $354.81
| Professional | | $93.33 | $177.83 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $263.03 / $380.19
| Professional | | $141.25 | $263.03 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $204.17 / $204.17
| Facility | | $204.17 | $204.17 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $223.87 / $380.19
| Professional | | $151.36 | $223.87 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $478.63 / $1,445.44
| Facility | | $416.87 | $478.63 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $501.19 / $851.14
| Facility | | $213.80 | $501.19 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $186.21 / $724.44
| Professional | | $134.90 | $186.21 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $288.40 / $288.40
| Professional | | $288.40 | $288.40 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $162.18 / $309.03
| Facility | | $75.86 | $162.18 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $162.18 / $309.03
| Professional | | $147.91 | $162.18 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $204.17 / $245.47
| Facility | | $204.17 | $204.17 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $120.23 / $251.19
| Professional | | $85.11 | $120.23 | $251.19 |