- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.51 / $440.35 / $549.41
| Facility | | $424.51 | $440.35 | $549.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $392.34 / $442.02 / $552.72
| Professional | | $392.34 | $442.02 | $552.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.87 / $460.87 / $460.87
| Professional | | $460.87 | $460.87 | $460.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $458.55 / $573.19 / $827.94
| Professional | | $458.55 | $573.19 | $827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $604.33 / $604.33 / $604.33
| Facility | | $604.33 | $604.33 | $604.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $604.33 / $604.33 / $604.33
| Professional | | $604.33 | $604.33 | $604.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.92 / $524.92 / $524.92
| Facility | | $524.92 | $524.92 | $524.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $327.14 / $611.88 / $1,724.54
| Professional | | $327.14 | $611.88 | $1,724.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.97 / $346.00 / $1,247.24
| Facility | | $227.97 | $346.00 | $1,247.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.04 / $676.28 / $958.99
| Professional | | $500.04 | $676.28 | $958.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $13.03 / $13.03
| Facility | | $13.03 | $13.03 | $13.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.34 / $557.39 / $951.45
| Professional | | $60.34 | $557.39 | $951.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.92 / $524.92 / $597.00
| Facility | | $524.92 | $524.92 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.80 / $313.02 / $1,446.81
| Professional | | $189.80 | $313.02 | $1,446.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $224.97 / $396.73 / $871.75
| Professional | | $224.97 | $396.73 | $871.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $353.53 / $524.53 / $524.53
| Facility | | $353.53 | $524.53 | $524.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.77 / $584.76 / $1,140.13
| Professional | | $226.77 | $584.76 | $1,140.13 |