- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.88 / $529.37 / $821.31
| Facility | | $137.88 | $529.37 | $821.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.56 / $137.88 / $227.20
| Professional | | $130.56 | $137.88 | $227.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.78 / $220.98 / $605.07
| Facility | | $142.78 | $220.98 | $605.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $197.48 / $766.36
| Professional | | $115.95 | $197.48 | $766.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $307.04 / $439.07 / $767.60
| Facility | | $307.04 | $439.07 | $767.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.17 / $185.17 / $191.32
| Professional | | $185.17 | $185.17 | $191.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.61 / $236.15 / $439.64
| Facility | | $125.61 | $236.15 | $439.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.30 / $185.43 / $503.40
| Professional | | $111.30 | $185.43 | $503.40 |
- 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
- $278.64 / $278.64 / $327.82
| Professional | | $278.64 | $278.64 | $327.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $193.25 / $193.25 / $598.48
| Professional | | $193.25 | $193.25 | $598.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.31 / $692.43 / $692.43
| Facility | | $303.31 | $692.43 | $692.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.26 / $917.94 / $917.94
| Facility | | $336.26 | $917.94 | $917.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $118.49 / $966.25
| Professional | | $115.95 | $118.49 | $966.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.93 / $193.25 / $231.90
| Facility | | $173.93 | $193.25 | $231.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.95 / $118.49 / $368.35
| Professional | | $115.95 | $118.49 | $368.35 |