- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.29 / $470.13 / $667.92
| Professional | | $316.29 | $470.13 | $667.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $510.56 / $510.56 / $858.60
| Professional | | $510.56 | $510.56 | $858.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.59 / $503.41 / $891.80
| Facility | | $68.59 | $503.41 | $891.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.59 / $503.41 / $891.80
| Professional | | $68.59 | $503.41 | $891.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.79 / $459.79 / $459.79
| Facility | | $459.79 | $459.79 | $459.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $390.82 / $459.79 / $739.80
| Professional | | $390.82 | $459.79 | $739.80 |
- 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
- $391.77 / $473.92 / $631.89
| Professional | | $391.77 | $473.92 | $631.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $494.74 / $655.12 / $696.06
| Professional | | $494.74 | $655.12 | $696.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.81 / $501.81 / $501.81
| Professional | | $501.81 | $501.81 | $501.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.79 / $459.79 / $459.79
| Facility | | $459.79 | $459.79 | $459.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $390.82 / $459.79 / $739.80
| Professional | | $390.82 | $459.79 | $739.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $274.47 / $383.33 / $686.17
| Professional | | $274.47 | $383.33 | $686.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $655.12 / $655.12 / $655.12
| Facility | | $655.12 | $655.12 | $655.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $494.74 / $655.12 / $696.06
| Professional | | $494.74 | $655.12 | $696.06 |