- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.91 / $159.91 / $232.40
| Professional | | $129.91 | $159.91 | $232.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.18 / $147.54 / $306.73
| Professional | | $142.18 | $147.54 | $306.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.82 / $213.25 / $349.05
| Professional | | $144.82 | $213.25 | $349.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.62 / $230.32 / $301.39
| Professional | | $175.62 | $230.32 | $301.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.91 / $167.89 / $313.95
| Professional | | $129.91 | $167.89 | $313.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.50 / $219.39 / $450.80
| Professional | | $59.50 | $219.39 | $450.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.82 / $209.95 / $364.41
| Professional | | $144.82 | $209.95 | $364.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.88 / $149.53 / $249.56
| Professional | | $146.88 | $149.53 | $249.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.13 / $173.59 / $303.47
| Professional | | $134.13 | $173.59 | $303.47 |