- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.85 / $244.83 / $360.90
| Professional | | $154.85 | $244.83 | $360.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $296.26 / $296.26 / $440.78
| Professional | | $296.26 | $296.26 | $440.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.24 / $271.75 / $362.33
| Facility | | $36.24 | $271.75 | $362.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.24 / $271.75 / $362.33
| Professional | | $36.24 | $271.75 | $362.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.17 / $243.17 / $319.16
| Facility | | $243.17 | $243.17 | $319.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.69 / $243.17 / $319.16
| Professional | | $206.69 | $243.17 | $319.16 |
- 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
- $214.78 / $244.41 / $346.42
| Professional | | $214.78 | $244.41 | $346.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $314.43 / $325.55 / $340.76
| Professional | | $314.43 | $325.55 | $340.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $284.82 / $284.82 / $284.82
| Professional | | $284.82 | $284.82 | $284.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.17 / $243.17 / $319.16
| Facility | | $243.17 | $243.17 | $319.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.69 / $243.17 / $319.16
| Professional | | $206.69 | $243.17 | $319.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.04 / $228.01 / $393.04
| Professional | | $124.04 | $228.01 | $393.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.72 / $320.72 / $320.72
| Facility | | $320.72 | $320.72 | $320.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $320.72 / $320.72 / $340.76
| Professional | | $320.72 | $320.72 | $340.76 |