- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.07 / $476.95 / $733.59
| Facility | | $142.07 | $476.95 | $733.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.24 / $142.07 / $149.09
| Professional | | $105.24 | $142.07 | $149.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $605.80 / $807.28 / $8,459.92
| Facility | | $605.80 | $807.28 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.81 / $136.81 / $136.81
| Professional | | $136.81 | $136.81 | $136.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.45 / $259.27 / $582.41
| Facility | | $166.45 | $259.27 | $582.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.81 / $162.13 / $314.47
| Professional | | $80.81 | $162.13 | $314.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.36 / $236.79 / $333.26
| Professional | | $104.36 | $236.79 | $333.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $353.23 / $353.23 / $353.23
| Facility | | $353.23 | $353.23 | $353.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.09 / $476.95 / $724.40
| Facility | | $149.09 | $476.95 | $724.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.12 / $143.83 / $724.40
| Professional | | $115.12 | $143.83 | $724.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $259.58 / $263.10 / $350.80
| Professional | | $259.58 | $263.10 | $350.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.65 / $291.81 / $582.41
| Facility | | $170.65 | $291.81 | $582.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.40 / $167.08 / $315.67
| Professional | | $82.40 | $167.08 | $315.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.40 / $175.40 / $192.94
| Facility | | $175.40 | $175.40 | $192.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.40 / $175.40 / $192.94
| Professional | | $175.40 | $175.40 | $192.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.67 / $105.24 / $263.10
| Professional | | $73.67 | $105.24 | $263.10 |