- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.88 / $280.08 / $371.07
| Professional | | $152.88 | $280.08 | $371.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $296.27 / $296.27 / $450.68
| Professional | | $296.27 | $296.27 | $450.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.54 / $243.98 / $325.30
| Facility | | $32.54 | $243.98 | $325.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.54 / $243.98 / $325.30
| Professional | | $32.54 | $243.98 | $325.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.62 / $267.62 / $330.59
| Facility | | $267.62 | $267.62 | $330.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.48 / $267.62 / $330.59
| Professional | | $227.48 | $267.62 | $330.59 |
- 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
- $207.81 / $250.02 / $384.65
| Professional | | $207.81 | $250.02 | $384.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.54 / $261.95 / $305.16
| Professional | | $246.54 | $261.95 | $305.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $302.50 / $302.50 / $302.50
| Professional | | $302.50 | $302.50 | $302.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.62 / $267.62 / $330.59
| Facility | | $267.62 | $267.62 | $330.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.48 / $267.62 / $330.59
| Professional | | $227.48 | $267.62 | $330.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.49 / $223.10 / $318.72
| Professional | | $127.49 | $223.10 | $318.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $246.54 / $246.54 / $246.54
| Facility | | $246.54 | $246.54 | $246.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.54 / $246.54 / $305.16
| Professional | | $246.54 | $246.54 | $305.16 |