- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.61 / $408.09 / $757.51
| Facility | | $144.61 | $408.09 | $757.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.13 / $129.80 / $249.02
| Professional | | $117.13 | $129.80 | $249.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.70 / $175.61 / $456.48
| Facility | | $113.70 | $175.61 | $456.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.92 / $189.76 / $1,085.40
| Professional | | $122.92 | $189.76 | $1,085.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219.65 / $337.55 / $611.50
| Facility | | $219.65 | $337.55 | $611.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.93 / $135.93 / $159.44
| Professional | | $135.93 | $135.93 | $159.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.29 / $232.47 / $481.19
| Facility | | $118.29 | $232.47 | $481.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.56 / $152.61 / $377.10
| Professional | | $85.56 | $152.61 | $377.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.64 / $208.64 / $245.46
| Professional | | $208.64 | $208.64 | $245.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.61 / $285.45 / $447.84
| Professional | | $144.61 | $285.45 | $447.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.80 / $344.16 / $836.52
| Facility | | $158.80 | $344.16 | $836.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.62 / $766.73 / $766.73
| Facility | | $251.62 | $766.73 | $766.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.48 / $202.45 / $1,085.40
| Professional | | $104.48 | $202.45 | $1,085.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.48 / $154.68 / $321.02
| Professional | | $104.48 | $154.68 | $321.02 |