- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.20 / $288.60 / $420.86
| Professional | | $178.20 | $288.60 | $420.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.03 / $338.03 / $511.04
| Professional | | $338.03 | $338.03 | $511.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.54 / $311.48 / $415.30
| Facility | | $41.54 | $311.48 | $415.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.54 / $311.48 / $415.30
| Professional | | $41.54 | $311.48 | $415.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.51 / $277.51 / $371.51
| Facility | | $277.51 | $277.51 | $371.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.88 / $277.51 / $371.51
| Professional | | $235.88 | $277.51 | $371.51 |
- 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
- $251.99 / $281.26 / $406.44
| Professional | | $251.99 | $281.26 | $406.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.32 / $372.07 / $392.16
| Professional | | $363.32 | $372.07 | $392.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.16 / $334.16 / $334.16
| Professional | | $334.16 | $334.16 | $334.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.51 / $277.51 / $371.51
| Facility | | $277.51 | $277.51 | $371.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.88 / $277.51 / $371.51
| Professional | | $235.88 | $277.51 | $371.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.67 / $262.41 / $412.51
| Professional | | $181.67 | $262.41 | $412.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.10 / $369.10 / $369.10
| Facility | | $369.10 | $369.10 | $369.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $369.10 / $369.10 / $392.16
| Professional | | $369.10 | $369.10 | $392.16 |