- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $507.38 / $951.16 / $1,623.60
| Facility | | $507.38 | $951.16 | $1,623.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.61 / $500.61 / $723.86
| Professional | | $500.61 | $500.61 | $723.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.51 / $525.79 / $761.61
| Facility | | $391.51 | $525.79 | $761.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.74 / $268.74 / $268.74
| Professional | | $268.74 | $268.74 | $268.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.73 / $439.73 / $1,807.29
| Facility | | $439.73 | $439.73 | $1,807.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $301.32 / $823.90 / $987.13
| Professional | | $301.32 | $823.90 | $987.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.61 / $659.59 / $1,136.52
| Facility | | $500.61 | $659.59 | $1,136.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.81 / $118.81 / $1,014.75
| Professional | | $118.81 | $118.81 | $1,014.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.81 / $118.81 / $282.88
| Professional | | $118.81 | $118.81 | $282.88 |