- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.30 / $239.43 / $443.19
| Facility | | $187.30 | $239.43 | $443.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $187.30 / $286.22 / $347.78
| Professional | | $187.30 | $286.22 | $347.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.16 / $561.16 / $1,100.33
| Facility | | $550.16 | $561.16 | $1,100.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.33 / $322.33 / $872.42
| Professional | | $322.33 | $322.33 | $872.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.28 / $458.37 / $458.37
| Facility | | $426.28 | $458.37 | $458.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $458.37 / $458.37 / $458.37
| Professional | | $458.37 | $458.37 | $458.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.34 / $335.34 / $335.34
| Facility | | $335.34 | $335.34 | $335.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.80 / $244.80 / $335.34
| Professional | | $244.80 | $244.80 | $335.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $550.16 / $1,237.88
| Facility | | $319.00 | $550.16 | $1,237.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $284.10 / $412.63 / $990.31
| Professional | | $284.10 | $412.63 | $990.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $297.95 / $297.95 / $297.95
| Facility | | $297.95 | $297.95 | $297.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.95 / $330.77 / $394.53
| Professional | | $297.95 | $330.77 | $394.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.34 / $335.34 / $597.00
| Facility | | $335.34 | $335.34 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.80 / $327.79 / $819.75
| Professional | | $244.80 | $327.79 | $819.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $182.98 / $295.64 / $503.21
| Professional | | $182.98 | $295.64 | $503.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.77 / $330.77 / $343.73
| Facility | | $330.77 | $330.77 | $343.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.95 / $330.77 / $351.45
| Professional | | $297.95 | $330.77 | $351.45 |