- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $169.82 / $588.84
| Facility | | $165.96 | $169.82 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $162.18 / $316.23
| Professional | | $138.04 | $162.18 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $251.19 / $549.54
| Professional | | $151.36 | $251.19 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $489.78 / $794.33
| Facility | | $426.58 | $489.78 | $794.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $354.81 / $537.03
| Professional | | $173.78 | $354.81 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $177.83 / $316.23
| Facility | | $147.91 | $177.83 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $331.13 / $446.68
| Professional | | $281.84 | $331.13 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $177.83 / $323.59
| Facility | | $147.91 | $177.83 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $380.19 / $977.24
| Professional | | $181.97 | $380.19 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.93 / $346.74 / $524.81
| Professional | | $208.93 | $346.74 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $363.08 / $977.24
| Facility | | $363.08 | $363.08 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $501.19 / $977.24
| Professional | | $169.82 | $501.19 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $602.56 / $812.83
| Professional | | $323.59 | $602.56 | $812.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $263.03 / $562.34
| Professional | | $165.96 | $263.03 | $562.34 |