- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $512.86 / $831.76
| Facility | | $199.53 | $512.86 | $831.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $204.17 / $630.96
| Professional | | $169.82 | $204.17 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $288.40 / $870.96
| Facility | | $190.55 | $288.40 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $257.04 / $851.14
| Professional | | $151.36 | $257.04 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $501.19 / $724.44
| Facility | | $407.38 | $501.19 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.42 / $234.42 / $251.19
| Professional | | $234.42 | $234.42 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $309.03 / $501.19
| Facility | | $165.96 | $309.03 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $245.47 / $660.69
| Professional | | $147.91 | $245.47 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $436.52
| Professional | | $371.54 | $371.54 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $537.03
| Professional | | $257.04 | $257.04 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $288.40 / $870.96
| Facility | | $190.55 | $288.40 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $257.04 / $851.14
| Professional | | $151.36 | $257.04 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $251.19 / $309.03
| Facility | | $169.82 | $251.19 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $213.80 / $489.78
| Professional | | $151.36 | $213.80 | $489.78 |