- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.45 / $124.41 / $180.60
| Facility | | $89.45 | $124.41 | $180.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.04 / $109.44 / $280.93
| Professional | | $70.04 | $109.44 | $280.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.06 / $405.70 / $405.70
| Facility | | $77.06 | $405.70 | $405.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.71 / $210.18 / $743.11
| Professional | | $103.71 | $210.18 | $743.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.54 / $178.39 / $266.61
| Professional | | $120.54 | $178.39 | $266.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.81 / $110.81 / $110.81
| Facility | | $110.81 | $110.81 | $110.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.51 / $157.66 / $265.86
| Professional | | $91.51 | $157.66 | $265.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.12 / $83.12 / $105.94
| Facility | | $83.12 | $83.12 | $105.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.28 / $165.84 / $195.10
| Professional | | $152.28 | $165.84 | $195.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.30 / $224.61 / $324.64
| Professional | | $124.30 | $224.61 | $324.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.13 / $215.97 / $375.41
| Professional | | $162.13 | $215.97 | $375.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.70 / $405.70 / $405.70
| Facility | | $405.70 | $405.70 | $405.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.26 / $234.33 / $743.11
| Professional | | $118.26 | $234.33 | $743.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.92 / $67.12 / $83.00
| Facility | | $55.92 | $67.12 | $83.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.36 / $126.06 / $230.21
| Professional | | $94.36 | $126.06 | $230.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.38 / $164.84 / $308.58
| Professional | | $112.38 | $164.84 | $308.58 |