- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.22 / $396.42 / $605.67
| Facility | | $116.22 | $396.42 | $605.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.22 / $149.06 / $198.74
| Professional | | $116.22 | $149.06 | $198.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.97 / $273.57 / $944.02
| Facility | | $123.97 | $273.57 | $944.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.05 / $166.03 / $484.09
| Professional | | $85.05 | $166.03 | $484.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.94 / $435.57 / $789.08
| Facility | | $34.94 | $435.57 | $789.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $166.03 / $186.82 / $196.75
| Professional | | $166.03 | $186.82 | $196.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.95 / $129.18 / $387.46
| Facility | | $79.95 | $129.18 | $387.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.04 / $207.38 / $274.69
| Professional | | $59.04 | $207.38 | $274.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $3,472.00 / $9,239.00
| Facility | | $83.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $286.58 / $286.58 / $337.15
| Professional | | $286.58 | $286.58 | $337.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.93 / $320.57 / $519.72
| Professional | | $168.93 | $320.57 | $519.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.05 / $147.05 / $194.12
| Facility | | $147.05 | $147.05 | $194.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.81 / $944.02 / $944.02
| Facility | | $345.81 | $944.02 | $944.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.50 / $119.24 / $290.55
| Professional | | $79.50 | $119.24 | $290.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.50 / $119.24 / $290.55
| Professional | | $79.50 | $119.24 | $290.55 |