- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.63 / $425.96 / $773.30
| Facility | | $129.63 | $425.96 | $773.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.16 / $138.90 / $254.33
| Professional | | $123.16 | $138.90 | $254.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.84 / $157.37 / $444.73
| Facility | | $136.84 | $157.37 | $444.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.12 / $111.12 / $922.30
| Professional | | $111.12 | $111.12 | $922.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.20 / $264.83 / $496.71
| Facility | | $185.20 | $264.83 | $496.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $174.09 / $174.09 / $174.09
| Professional | | $174.09 | $174.09 | $174.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.50 / $132.41 / $421.33
| Facility | | $115.50 | $132.41 | $421.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.29 / $177.95 / $361.63
| Professional | | $98.29 | $177.95 | $361.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $267.44 / $267.44 / $314.64
| Professional | | $267.44 | $267.44 | $314.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.20 / $185.20 / $566.71
| Professional | | $185.20 | $185.20 | $566.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.31 / $191.61 / $361.29
| Facility | | $175.31 | $191.61 | $361.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.25 / $879.70 / $879.70
| Facility | | $322.25 | $879.70 | $879.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.12 / $111.12 / $922.30
| Professional | | $111.12 | $111.12 | $922.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.12 / $185.20 / $401.33
| Professional | | $111.12 | $185.20 | $401.33 |