- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.66 / $492.51 / $752.51
| Facility | | $150.66 | $492.51 | $752.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.66 / $176.89 / $283.93
| Professional | | $150.66 | $176.89 | $283.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.71 / $339.89 / $1,172.86
| Facility | | $160.71 | $339.89 | $1,172.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.25 / $215.23 / $601.45
| Professional | | $110.25 | $215.23 | $601.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.94 / $541.50 / $980.98
| Facility | | $34.94 | $541.50 | $980.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $215.23 / $232.10 / $244.45
| Professional | | $215.23 | $232.10 | $244.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.95 / $160.50 / $481.40
| Facility | | $79.95 | $160.50 | $481.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.04 / $257.63 / $341.73
| Professional | | $59.04 | $257.63 | $341.73 |
- 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
- $356.13 / $356.13 / $418.98
| Professional | | $356.13 | $356.13 | $418.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $209.88 / $398.28 / $645.72
| Professional | | $209.88 | $398.28 | $645.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.10 / $241.18 / $241.18
| Facility | | $56.10 | $241.18 | $241.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $429.64 / $1,172.86 / $1,172.86
| Facility | | $429.64 | $1,172.86 | $1,172.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.77 / $148.15 / $376.65
| Professional | | $98.77 | $148.15 | $376.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.77 / $148.15 / $322.85
| Professional | | $98.77 | $148.15 | $322.85 |