- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $436.52 / $933.25
| Facility | | $194.98 | $436.52 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.33 / $128.82 / $416.87
| Professional | | $102.33 | $128.82 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $173.78 / $501.19
| Facility | | $114.82 | $173.78 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $173.78 / $1,096.48
| Professional | | $123.03 | $173.78 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $309.03 / $489.78
| Facility | | $245.47 | $309.03 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $134.90 / $141.25
| Professional | | $134.90 | $134.90 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.20 / $213.80 / $478.63
| Facility | | $112.20 | $213.80 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $154.88 / $380.19
| Professional | | $85.11 | $154.88 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $3,630.78 / $9,772.37
| Facility | | $83.18 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.93 / $208.93 / $245.47
| Professional | | $208.93 | $208.93 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $213.80 / $371.54
| Professional | | $123.03 | $213.80 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $354.81 / $831.76
| Facility | | $158.49 | $354.81 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $173.78 / $501.19
| Facility | | $114.82 | $173.78 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.03 / $173.78 / $1,096.48
| Professional | | $123.03 | $173.78 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $144.54 / $204.17
| Facility | | $104.71 | $144.54 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $173.78 / $363.08
| Professional | | $104.71 | $173.78 | $363.08 |