- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.48 / $366.82 / $79,850.53
| Facility | | $183.48 | $366.82 | $79,850.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $221.93
| Professional | | $183.48 | $183.48 | $221.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.06 / $315.58 / $587.14
| Facility | | $199.06 | $315.58 | $587.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $183.48
| Professional | | $183.48 | $183.48 | $183.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.09 / $173.09 / $259.64
| Facility | | $173.09 | $173.09 | $259.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $183.48
| Professional | | $183.48 | $183.48 | $183.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.41 / $194.49 / $309.24
| Facility | | $183.41 | $194.49 | $309.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.99 / $201.83 / $277.05
| Professional | | $199.99 | $201.83 | $277.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $194.49
| Professional | | $183.48 | $183.48 | $194.49 |