- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.80 / $625.79 / $923.17
| Facility | | $178.80 | $625.79 | $923.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $174.38 / $181.01 / $1,419.36
| Professional | | $174.38 | $181.01 | $1,419.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,040.14 / $1,386.04 / $8,459.92
| Facility | | $1,040.14 | $1,386.04 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.18 / $172.18 / $172.18
| Professional | | $172.18 | $172.18 | $172.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.48 / $326.02 / $732.37
| Facility | | $209.48 | $326.02 | $732.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.15 / $236.25 / $499.15
| Professional | | $116.15 | $236.25 | $499.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.34 / $298.00 / $419.41
| Professional | | $131.34 | $298.00 | $419.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.71 / $358.35 / $1,048.52
| Facility | | $89.71 | $358.35 | $1,048.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.63 / $625.79 / $923.17
| Facility | | $187.63 | $625.79 | $923.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.56 / $197.64 / $911.66
| Professional | | $165.56 | $197.64 | $911.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $326.70 / $331.11 / $441.48
| Professional | | $326.70 | $331.11 | $441.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.72 / $367.24 / $732.37
| Facility | | $214.72 | $367.24 | $732.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.59 / $255.08 / $499.15
| Professional | | $130.59 | $255.08 | $499.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.74 / $220.74 / $333.77
| Facility | | $220.74 | $220.74 | $333.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.74 / $220.74 / $333.77
| Professional | | $220.74 | $220.74 | $333.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.71 / $135.52 / $348.10
| Professional | | $92.71 | $135.52 | $348.10 |