- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.99 / $1,210.66 / $1,210.66
| Facility | | $347.99 | $1,210.66 | $1,210.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $259.16 / $325.51 / $416.66
| Professional | | $259.16 | $325.51 | $416.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $276.13 / $400.81 / $1,057.40
| Professional | | $276.13 | $400.81 | $1,057.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $854.26 / $998.27 / $1,531.38
| Facility | | $854.26 | $998.27 | $1,531.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $320.33 / $735.57 / $1,088.63
| Professional | | $320.33 | $735.57 | $1,088.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.94 / $349.18 / $642.51
| Facility | | $296.94 | $349.18 | $642.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.94 / $349.18 / $663.17
| Facility | | $296.94 | $349.18 | $663.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $303.06 / $479.26 / $2,326.30
| Professional | | $303.06 | $479.26 | $2,326.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.52 / $288.69 / $611.15
| Professional | | $177.52 | $288.69 | $611.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.94 / $347.99 / $649.11
| Facility | | $296.94 | $347.99 | $649.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531.86 / $750.47 / $1,070.30
| Professional | | $531.86 | $750.47 | $1,070.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.09 / $655.14 / $1,472.94
| Facility | | $370.09 | $655.14 | $1,472.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $358.18 / $1,452.30 / $2,326.30
| Professional | | $358.18 | $1,452.30 | $2,326.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $394.87 / $572.14 / $1,137.60
| Professional | | $394.87 | $572.14 | $1,137.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.39 / $468.72 / $971.04
| Professional | | $295.39 | $468.72 | $971.04 |