- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.23 / $186.23 / $626.00
| Facility | | $186.23 | $186.23 | $626.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $174.64 / $196.60 / $291.89
| Professional | | $174.64 | $196.60 | $291.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.37 / $238.03 / $433.67
| Professional | | $229.37 | $238.03 | $433.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.67 / $264.67 / $264.67
| Facility | | $264.67 | $264.67 | $264.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.39 / $285.70 / $450.16
| Professional | | $216.39 | $285.70 | $450.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.02 / $498.02 / $498.02
| Facility | | $498.02 | $498.02 | $498.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $259.94 / $341.44 / $607.73
| Professional | | $259.94 | $341.44 | $607.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.46 / $331.46 / $331.46
| Professional | | $331.46 | $331.46 | $331.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.23 / $186.23 / $626.00
| Facility | | $186.23 | $186.23 | $626.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.51 / $252.16 / $626.00
| Professional | | $181.51 | $252.16 | $626.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $292.30 / $478.30 / $579.40
| Professional | | $292.30 | $478.30 | $579.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.67 / $264.67 / $264.67
| Facility | | $264.67 | $264.67 | $264.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.39 / $281.45 / $451.68
| Professional | | $216.39 | $281.45 | $451.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.73 / $227.26 / $235.40
| Professional | | $220.73 | $227.26 | $235.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $203.21 / $256.56 / $442.26
| Professional | | $203.21 | $256.56 | $442.26 |