- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.22 / $563.41 / $710.84
| Facility | | $479.22 | $563.41 | $710.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $407.99 / $535.13 / $710.84
| Professional | | $407.99 | $535.13 | $710.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.89 / $148.13 / $302.70
| Facility | | $71.89 | $148.13 | $302.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.87 / $61.20 / $61.20
| Professional | | $52.87 | $61.20 | $61.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.03 / $227.50 / $227.50
| Professional | | $56.03 | $227.50 | $227.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $754.60 / $754.60 / $754.60
| Facility | | $754.60 | $754.60 | $754.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.40 / $633.86 / $633.86
| Facility | | $559.40 | $633.86 | $633.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.19 / $577.92 / $649.71
| Professional | | $66.19 | $577.92 | $649.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,877.00 / $3,720.55 / $3,856.19
| Facility | | $1,877.00 | $3,720.55 | $3,856.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.45 / $449.37 / $868.02
| Facility | | $75.45 | $449.37 | $868.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.42 / $382.12 / $1,167.71
| Professional | | $69.42 | $382.12 | $1,167.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.45 / $449.37 / $847.08
| Facility | | $75.45 | $449.37 | $847.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.64 / $449.37 / $577.92
| Professional | | $59.64 | $449.37 | $577.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $365.41 / $476.26 / $905.33
| Professional | | $365.41 | $476.26 | $905.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $560.19 / $560.19 / $677.10
| Professional | | $560.19 | $560.19 | $677.10 |