- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.63 / $327.08 / $610.57
| Facility | | $176.63 | $327.08 | $610.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.44 / $218.06 / $327.08
| Professional | | $158.44 | $218.06 | $327.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.06 / $218.06 / $566.96
| Facility | | $218.06 | $218.06 | $566.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.40 / $167.47 / $577.94
| Professional | | $105.40 | $167.47 | $577.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.84 / $218.06 / $218.06
| Facility | | $130.84 | $218.06 | $218.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $159.18 / $218.06 / $218.06
| Professional | | $159.18 | $218.06 | $218.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.64 / $460.66 / $582.14
| Facility | | $266.64 | $460.66 | $582.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $164.10 / $351.45 / $847.44
| Professional | | $164.10 | $351.45 | $847.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.00 / $283.48 / $599.66
| Facility | | $172.00 | $283.48 | $599.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.63 / $228.96 / $407.77
| Professional | | $152.63 | $228.96 | $407.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.35 / $218.06 / $395.41
| Professional | | $185.35 | $218.06 | $395.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.14 / $370.68 / $899.26
| Facility | | $266.14 | $370.68 | $899.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.61 / $532.09 / $597.00
| Facility | | $212.61 | $532.09 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $171.27 / $368.93 / $703.63
| Professional | | $171.27 | $368.93 | $703.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.59 / $130.84 / $342.32
| Professional | | $91.59 | $130.84 | $342.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.76 / $250.76 / $545.26
| Facility | | $250.76 | $250.76 | $545.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.35 / $228.61 / $579.47
| Professional | | $185.35 | $228.61 | $579.47 |