- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $741.31 / $1,071.52
| Facility | | $229.09 | $741.31 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $218.78 / $263.03 / $812.83
| Professional | | $218.78 | $263.03 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $380.19 / $1,148.15
| Facility | | $245.47 | $380.19 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $331.13 / $1,096.48
| Professional | | $199.53 | $331.13 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $660.69 / $933.25
| Facility | | $524.81 | $660.69 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $331.13 / $331.13
| Professional | | $323.59 | $331.13 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $309.03 / $524.81
| Facility | | $213.80 | $309.03 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $398.11 / $831.76
| Professional | | $173.78 | $398.11 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $3,630.78 / $9,772.37
| Facility | | $83.18 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.63 / $478.63 / $562.34
| Professional | | $478.63 | $478.63 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $331.13 / $691.83
| Professional | | $331.13 | $331.13 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $380.19 / $1,148.15
| Facility | | $245.47 | $380.19 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $331.13 / $1,230.27
| Professional | | $199.53 | $331.13 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $331.13 / $398.11
| Facility | | $199.53 | $331.13 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $331.13 / $630.96
| Professional | | $199.53 | $331.13 | $630.96 |