- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.57 / $485.27 / $741.32
| Facility | | $143.57 | $485.27 | $741.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.03 / $145.35 / $1,139.72
| Professional | | $140.03 | $145.35 | $1,139.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $835.19 / $1,112.93 / $8,459.92
| Facility | | $835.19 | $1,112.93 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.26 / $138.26 / $138.26
| Professional | | $138.26 | $138.26 | $138.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.21 / $261.69 / $587.85
| Facility | | $168.21 | $261.69 | $587.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $189.63 / $400.65
| Professional | | $93.33 | $189.63 | $400.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.47 / $239.29 / $336.78
| Professional | | $105.47 | $239.29 | $336.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.83 / $221.83 / $1,038.71
| Facility | | $221.83 | $221.83 | $1,038.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.66 / $485.27 / $741.32
| Facility | | $150.66 | $485.27 | $741.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.62 / $158.69 / $732.04
| Professional | | $127.62 | $158.69 | $732.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $262.33 / $265.88 / $354.50
| Professional | | $262.33 | $265.88 | $354.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.53 / $294.88 / $587.85
| Facility | | $172.53 | $294.88 | $587.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.94 / $204.87 / $400.65
| Professional | | $104.94 | $204.87 | $400.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.25 / $177.25 / $268.00
| Facility | | $177.25 | $177.25 | $268.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.25 / $177.25 / $268.00
| Professional | | $177.25 | $177.25 | $268.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.45 / $106.35 / $270.83
| Professional | | $74.45 | $106.35 | $270.83 |