- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $193.54 / $338.74 / $461.99
| Professional | | $193.54 | $338.74 | $461.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $375.06 / $375.06 / $561.08
| Professional | | $375.06 | $375.06 | $561.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.72 / $305.50 / $407.34
| Facility | | $40.72 | $305.50 | $407.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.72 / $305.50 / $407.34
| Professional | | $40.72 | $305.50 | $407.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.53 / $331.53 / $331.53
| Facility | | $331.53 | $331.53 | $331.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.80 / $331.53 / $409.54
| Professional | | $281.80 | $331.53 | $409.54 |
- 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
- $263.07 / $309.43 / $476.04
| Professional | | $263.07 | $309.43 | $476.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.11 / $331.62 / $386.31
| Professional | | $312.11 | $331.62 | $386.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.53 / $331.53 / $331.53
| Facility | | $331.53 | $331.53 | $331.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.80 / $331.53 / $409.54
| Professional | | $281.80 | $331.53 | $409.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.72 / $274.66 / $396.82
| Professional | | $158.72 | $274.66 | $396.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.11 / $312.11 / $312.11
| Facility | | $312.11 | $312.11 | $312.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.11 / $312.11 / $386.31
| Professional | | $312.11 | $312.11 | $386.31 |