- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.64 / $286.44 / $1,158.02
| Professional | | $234.64 | $286.44 | $1,158.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.14 / $206.14 / $206.14
| Professional | | $206.14 | $206.14 | $206.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $274.43 / $442.29 / $867.64
| Professional | | $274.43 | $442.29 | $867.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.68 / $312.22 / $745.42
| Professional | | $208.68 | $312.22 | $745.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.79 / $198.79 / $247.02
| Professional | | $198.79 | $198.79 | $247.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.72 / $305.98 / $413.07
| Professional | | $226.72 | $305.98 | $413.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.74 / $306.57 / $582.28
| Professional | | $229.74 | $306.57 | $582.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,539.53 / $1,539.53 / $1,891.95
| Professional | | $1,539.53 | $1,539.53 | $1,891.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.79 / $198.79 / $514.75
| Professional | | $198.79 | $198.79 | $514.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $875.81 / $875.81 / $875.81
| Professional | | $875.81 | $875.81 | $875.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $247.53 / $317.39 / $385.42
| Professional | | $247.53 | $317.39 | $385.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.16 / $328.86 / $814.23
| Professional | | $178.16 | $328.86 | $814.23 |