- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $354.81 / $933.25
| Facility | | $144.54 | $354.81 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $114.82 / $380.19
| Professional | | $75.86 | $114.82 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $181.97 / $446.68
| Facility | | $117.49 | $181.97 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $141.25 / $537.03
| Professional | | $63.10 | $141.25 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $316.23 / $457.09
| Facility | | $251.19 | $316.23 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $134.90 / $134.90
| Professional | | $97.72 | $134.90 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $218.78 / $489.78
| Facility | | $102.33 | $218.78 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $169.82 / $371.54
| Professional | | $85.11 | $169.82 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $288.40 / $7,079.46
| Facility | | $109.65 | $288.40 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $199.53 / $295.12
| Professional | | $158.49 | $199.53 | $295.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $141.25 / $263.03
| Professional | | $141.25 | $141.25 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $162.18 / $302.00
| Facility | | $151.36 | $162.18 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $181.97 / $446.68
| Facility | | $117.49 | $181.97 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $141.25 / $562.34
| Professional | | $63.10 | $141.25 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $162.18 / $363.08
| Facility | | $89.13 | $162.18 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $141.25 / $208.93
| Facility | | $104.71 | $141.25 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.10 / $109.65 / $269.15
| Professional | | $63.10 | $109.65 | $269.15 |