- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $457.09 / $812.83
| Facility | | $181.97 | $457.09 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $147.91 / $512.86
| Professional | | $128.82 | $147.91 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $1,230.27 / $5,011.87
| Facility | | $912.01 | $1,230.27 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $134.90 / $389.05
| Professional | | $134.90 | $134.90 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $281.84 / $588.84
| Facility | | $158.49 | $281.84 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.33 / $165.96 / $389.05
| Professional | | $102.33 | $165.96 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $229.09 / $331.13
| Professional | | $120.23 | $229.09 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $173.78 / $173.78
| Facility | | $173.78 | $173.78 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $257.04 / $446.68
| Professional | | $181.97 | $257.04 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $1,548.82 / $1,548.82
| Facility | | $1,258.93 | $1,548.82 | $1,548.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $457.09 / $812.83
| Facility | | $181.97 | $457.09 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $162.18 / $707.95
| Professional | | $131.83 | $162.18 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $245.47 / $245.47
| Professional | | $245.47 | $245.47 | $245.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $234.42 / $239.88
| Facility | | $173.78 | $234.42 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $234.42 / $239.88
| Professional | | $173.78 | $234.42 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $173.78 / $208.93
| Facility | | $173.78 | $173.78 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.50 / $173.78 / $309.03
| Professional | | $95.50 | $173.78 | $309.03 |