- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.46 / $472.96 / $567.35
| Facility | | $358.46 | $472.96 | $567.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $381.53 / $491.56 / $640.14
| Professional | | $381.53 | $491.56 | $640.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $427.90 / $512.03 / $778.06
| Professional | | $427.90 | $512.03 | $778.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468.32 / $510.67 / $530.47
| Facility | | $468.32 | $510.67 | $530.47 |
- 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
- $427.32 / $562.85 / $920.32
| Professional | | $427.32 | $562.85 | $920.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.21 / $2,255.57 / $2,454.17
| Facility | | $1,154.21 | $2,255.57 | $2,454.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,154.82 / $3,624.69 / $4,047.83
| Professional | | $3,154.82 | $3,624.69 | $4,047.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.99 / $523.25 / $896.87
| Facility | | $427.99 | $523.25 | $896.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530.16 / $722.94 / $999.47
| Professional | | $530.16 | $722.94 | $999.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $483.11 / $614.63 / $967.92
| Professional | | $483.11 | $614.63 | $967.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.11 / $525.63 / $941.01
| Facility | | $439.11 | $525.63 | $941.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $445.51 / $606.10 / $1,225.58
| Professional | | $445.51 | $606.10 | $1,225.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $355.39 / $471.02 / $717.74
| Professional | | $355.39 | $471.02 | $717.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.43 / $483.19 / $661.91
| Professional | | $380.43 | $483.19 | $661.91 |