- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $436.52 / $741.31
| Facility | | $144.54 | $436.52 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $144.54 / $338.84
| Professional | | $95.50 | $144.54 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $616.60 / $5,011.87
| Facility | | $467.74 | $616.60 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $213.80
| Professional | | $131.83 | $131.83 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $275.42 / $575.44
| Facility | | $165.96 | $275.42 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $158.49 / $257.04
| Professional | | $60.26 | $158.49 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $223.87 / $323.59
| Professional | | $120.23 | $223.87 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $169.82 / $169.82
| Facility | | $169.82 | $169.82 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.89 / $257.04 / $426.58
| Professional | | $125.89 | $257.04 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $398.11 / $794.33
| Facility | | $251.19 | $398.11 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $426.58 / $741.31
| Facility | | $158.49 | $426.58 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $162.18 / $478.63
| Professional | | $112.20 | $162.18 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $239.88 / $239.88
| Professional | | $239.88 | $239.88 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $131.83 / $169.82
| Facility | | $51.29 | $131.83 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $131.83 / $169.82
| Professional | | $51.29 | $131.83 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $169.82 / $204.17
| Facility | | $169.82 | $169.82 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $102.33 / $213.80
| Professional | | $70.79 | $102.33 | $213.80 |