- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.87 / $476.87 / $476.87
| Facility | | $476.87 | $476.87 | $476.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $381.53 / $476.87 / $609.67
| Professional | | $381.53 | $476.87 | $609.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $498.24 / $517.04 / $799.69
| Professional | | $498.24 | $517.04 | $799.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $569.26 / $569.26 / $569.26
| Facility | | $569.26 | $569.26 | $569.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $435.11 / $550.84 / $938.04
| Professional | | $435.11 | $550.84 | $938.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,086.16 / $1,086.16 / $1,086.16
| Facility | | $1,086.16 | $1,086.16 | $1,086.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $517.21 / $680.40 / $1,018.25
| Professional | | $517.21 | $680.40 | $1,018.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.58 / $491.67 / $1,306.23
| Professional | | $411.58 | $491.67 | $1,306.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.39 / $324.39 / $324.39
| Facility | | $324.39 | $324.39 | $324.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $324.39 / $749.20 / $1,011.10
| Professional | | $324.39 | $749.20 | $1,011.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $569.26 / $569.26 / $569.26
| Facility | | $569.26 | $569.26 | $569.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $435.11 / $550.11 / $936.37
| Professional | | $435.11 | $550.11 | $936.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $488.21 / $488.21 / $488.21
| Facility | | $488.21 | $488.21 | $488.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $423.81 / $488.21 / $507.88
| Professional | | $423.81 | $488.21 | $507.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $373.76 / $470.04 / $801.34
| Professional | | $373.76 | $470.04 | $801.34 |