- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.63 / $550.38 / $906.50
| Facility | | $226.63 | $550.38 | $906.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.41 / $161.87 / $275.19
| Professional | | $71.41 | $161.87 | $275.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.75 / $323.75 / $841.75
| Facility | | $323.75 | $323.75 | $841.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.50 / $146.78 / $433.52
| Professional | | $129.50 | $146.78 | $433.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.25 / $323.75 / $323.75
| Facility | | $194.25 | $323.75 | $323.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $236.34 / $323.75 / $323.75
| Professional | | $236.34 | $323.75 | $323.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.23 / $655.75 / $840.27
| Facility | | $226.23 | $655.75 | $840.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.55 / $270.89 / $1,560.48
| Professional | | $97.55 | $270.89 | $1,560.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.00 / $323.75 / $728.44
| Facility | | $77.00 | $323.75 | $728.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.50 / $191.01 / $592.46
| Professional | | $129.50 | $191.01 | $592.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.69 / $252.41 / $339.41
| Professional | | $105.69 | $252.41 | $339.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.00 / $569.97 / $1,117.38
| Facility | | $285.00 | $569.97 | $1,117.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.23 / $683.93 / $864.37
| Facility | | $226.23 | $683.93 | $864.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $119.81 / $150.01 / $501.81
| Professional | | $119.81 | $150.01 | $501.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.38 / $291.38 / $323.75
| Facility | | $291.38 | $291.38 | $323.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.54 / $138.60 / $469.44
| Professional | | $101.54 | $138.60 | $469.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.12 / $372.30 / $372.30
| Facility | | $324.12 | $372.30 | $372.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.69 / $225.84 / $389.12
| Professional | | $105.69 | $225.84 | $389.12 |