- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $216.66 / $220.99 / $767.59
| Facility | | $216.66 | $220.99 | $767.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.62 / $217.68 / $321.83
| Professional | | $189.62 | $217.68 | $321.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $187.64 / $292.02 / $882.67
| Professional | | $187.64 | $292.02 | $882.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.17 / $637.08 / $977.30
| Facility | | $545.17 | $637.08 | $977.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $240.80 / $514.25 / $734.58
| Professional | | $240.80 | $514.25 | $734.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.42 / $225.25 / $389.99
| Facility | | $191.42 | $225.25 | $389.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $188.68 / $225.25 / $389.99
| Facility | | $188.68 | $225.25 | $389.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.69 / $632.78 / $1,299.72
| Professional | | $263.69 | $632.78 | $1,299.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.70 / $190.52 / $412.59
| Professional | | $117.70 | $190.52 | $412.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.42 / $225.25 / $403.58
| Facility | | $191.42 | $225.25 | $403.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $266.48 / $479.59 / $682.00
| Professional | | $266.48 | $479.59 | $682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.42 / $920.42 / $920.42
| Facility | | $920.42 | $920.42 | $920.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.79 / $1,038.15 / $1,299.72
| Professional | | $312.79 | $1,038.15 | $1,299.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $434.76 / $1,038.66 / $1,059.19
| Professional | | $434.76 | $1,038.66 | $1,059.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $249.16 / $453.08 / $778.61
| Professional | | $249.16 | $453.08 | $778.61 |