- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.25 / $442.34 / $713.31
| Facility | | $244.25 | $442.34 | $713.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.70 / $323.12 / $323.12
| Professional | | $105.70 | $323.12 | $323.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.10 / $219.93 / $588.88
| Facility | | $142.10 | $219.93 | $588.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.39 / $192.32 / $762.67
| Professional | | $115.39 | $192.32 | $762.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $305.89 / $437.42 / $820.40
| Facility | | $305.89 | $437.42 | $820.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $176.93 / $176.93 / $176.93
| Professional | | $176.93 | $176.93 | $176.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.01 / $233.48 / $437.54
| Facility | | $125.01 | $233.48 | $437.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.51 / $184.78 / $501.60
| Professional | | $112.51 | $184.78 | $501.60 |
- 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
- $277.70 / $277.70 / $326.72
| Professional | | $277.70 | $277.70 | $326.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $192.32 / $192.32 / $595.60
| Professional | | $192.32 | $192.32 | $595.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $198.97 / $198.97 / $215.01
| Facility | | $198.97 | $198.97 | $215.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $334.64 / $913.52 / $913.52
| Facility | | $334.64 | $913.52 | $913.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.39 / $159.63 / $961.60
| Professional | | $115.39 | $159.63 | $961.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.39 / $135.65 / $328.94
| Professional | | $115.39 | $135.65 | $328.94 |