- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.62 / $1,251.46 / $1,658.30
| Facility | | $289.62 | $1,251.46 | $1,658.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.89 / $293.20 / $1,476.72
| Professional | | $278.89 | $293.20 | $1,476.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,619.98 / $2,103.65 / $8,639.91
| Facility | | $1,619.98 | $2,103.65 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.89 / $278.89 / $278.89
| Professional | | $278.89 | $278.89 | $278.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.01 / $464.82 / $1,045.84
| Facility | | $235.01 | $464.82 | $1,045.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $224.43 / $410.94 / $611.44
| Professional | | $224.43 | $410.94 | $611.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $164.48 / $210.96 / $484.14
| Professional | | $164.48 | $210.96 | $484.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.60 / $581.07 / $1,276.16
| Facility | | $149.60 | $581.07 | $1,276.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.44 / $978.92 / $1,595.81
| Facility | | $257.44 | $978.92 | $1,595.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.17 / $303.93 / $1,476.72
| Professional | | $268.17 | $303.93 | $1,476.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.38 / $553.27 / $1,186.57
| Facility | | $239.38 | $553.27 | $1,186.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $224.43 / $403.60 / $611.44
| Professional | | $224.43 | $403.60 | $611.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.56 / $357.56 / $436.20
| Facility | | $357.56 | $357.56 | $436.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $314.64 / $357.56 / $436.20
| Professional | | $314.64 | $357.56 | $436.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.89 / $294.89 / $589.79
| Facility | | $294.89 | $294.89 | $589.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $160.90 / $270.85 / $622.15
| Professional | | $160.90 | $270.85 | $622.15 |