- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $423.36 / $465.82 / $528.20
| Facility | | $423.36 | $465.82 | $528.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $385.51 / $461.88 / $562.55
| Professional | | $385.51 | $461.88 | $562.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $458.55 / $573.19 / $842.80
| Professional | | $458.55 | $573.19 | $842.80 |
- 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
- $538.35 / $538.35 / $538.35
| Facility | | $538.35 | $538.35 | $538.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $345.16 / $633.48 / $1,826.75
| Professional | | $345.16 | $633.48 | $1,826.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.97 / $346.00 / $1,244.83
| Facility | | $227.97 | $346.00 | $1,244.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $499.07 / $674.98 / $957.14
| Professional | | $499.07 | $674.98 | $957.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $16.29 / $16.29
| Facility | | $16.29 | $16.29 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.83 / $556.29 / $996.52
| Professional | | $66.83 | $556.29 | $996.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $538.35 / $538.35 / $597.00
| Facility | | $538.35 | $538.35 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.80 / $330.96 / $1,485.16
| Professional | | $189.80 | $330.96 | $1,485.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.74 / $392.31 / $806.58
| Professional | | $223.74 | $392.31 | $806.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $353.53 / $523.51 / $523.51
| Facility | | $353.53 | $523.51 | $523.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.77 / $583.62 / $1,137.91
| Professional | | $226.77 | $583.62 | $1,137.91 |