- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.19 / $176.56 / $244.27
| Professional | | $114.19 | $176.56 | $244.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.51 / $195.51 / $317.73
| Professional | | $195.51 | $195.51 | $317.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.41 / $190.54 / $254.06
| Facility | | $25.41 | $190.54 | $254.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.41 / $190.54 / $254.06
| Professional | | $25.41 | $190.54 | $254.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.96 / $160.96 / $215.49
| Facility | | $160.96 | $160.96 | $215.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.82 / $160.96 / $215.49
| Professional | | $136.82 | $160.96 | $215.49 |
- 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
- $139.36 / $177.47 / $224.78
| Professional | | $139.36 | $177.47 | $224.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231.88 / $246.66 / $251.30
| Professional | | $231.88 | $246.66 | $251.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $184.80 / $184.80 / $184.80
| Professional | | $184.80 | $184.80 | $184.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.96 / $160.96 / $215.49
| Facility | | $160.96 | $160.96 | $215.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.19 / $160.96 / $215.49
| Professional | | $135.19 | $160.96 | $215.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.41 / $177.18 / $249.45
| Professional | | $116.41 | $177.18 | $249.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.52 / $236.52 / $236.52
| Facility | | $236.52 | $236.52 | $236.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $236.52 / $236.52 / $251.30
| Professional | | $236.52 | $236.52 | $251.30 |