- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.49 / $402.60 / $601.24
| Facility | | $276.49 | $402.60 | $601.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $210.76 / $276.49 / $601.24
| Professional | | $210.76 | $276.49 | $601.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $385.41 / $1,799.36 / $1,799.36
| Facility | | $385.41 | $1,799.36 | $1,799.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $264.26 / $440.41 / $1,591.95
| Professional | | $264.26 | $440.41 | $1,591.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.40 / $395.21 / $640.91
| Professional | | $223.40 | $395.21 | $640.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.83 / $337.30 / $603.58
| Facility | | $223.83 | $337.30 | $603.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.12 / $337.30 / $590.62
| Professional | | $197.12 | $337.30 | $590.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.62 / $159.44 / $425.89
| Professional | | $32.62 | $159.44 | $425.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.42 / $374.69 / $414.06
| Facility | | $299.42 | $374.69 | $414.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.12 / $259.12 / $260.02
| Facility | | $259.12 | $259.12 | $260.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $291.83 / $425.03 / $516.14
| Professional | | $291.83 | $425.03 | $516.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $264.26 / $357.27 / $492.75
| Professional | | $264.26 | $357.27 | $492.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.00 / $666.00 / $10,293.00
| Facility | | $107.00 | $666.00 | $10,293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $247.72 / $380.84 / $548.91
| Professional | | $247.72 | $380.84 | $548.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $156.25 / $204.89 / $204.89
| Professional | | $156.25 | $204.89 | $204.89 |