- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.71 / $227.77 / $354.24
| Professional | | $142.71 | $227.77 | $354.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $292.14 / $292.14 / $474.52
| Professional | | $292.14 | $292.14 | $474.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.15 / $286.19 / $381.60
| Facility | | $38.15 | $286.19 | $381.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.15 / $286.19 / $381.60
| Professional | | $38.15 | $286.19 | $381.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.42 / $243.42 / $325.88
| Facility | | $243.42 | $243.42 | $325.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.91 / $243.42 / $325.88
| Professional | | $206.91 | $243.42 | $325.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $332.00 / $332.00
| Facility | | $319.00 | $332.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.95 / $263.73 / $320.88
| Professional | | $198.95 | $263.73 | $320.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $304.45 / $323.48 / $329.66
| Professional | | $304.45 | $323.48 | $329.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.82 / $263.82 / $263.82
| Professional | | $263.82 | $263.82 | $263.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.42 / $243.42 / $325.88
| Facility | | $243.42 | $243.42 | $325.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $193.01 / $243.42 / $325.88
| Professional | | $193.01 | $243.42 | $325.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $166.33 / $244.48 / $407.94
| Professional | | $166.33 | $244.48 | $407.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $304.45 / $304.45 / $304.45
| Facility | | $304.45 | $304.45 | $304.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $304.45 / $304.45 / $329.66
| Professional | | $304.45 | $304.45 | $329.66 |