- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.81 / $269.08 / $321.08
| Facility | | $242.81 | $269.08 | $321.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $232.84 / $287.35 / $513.16
| Professional | | $232.84 | $287.35 | $513.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.37 / $325.37 / $325.37
| Facility | | $325.37 | $325.37 | $325.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.52 / $237.52 / $325.37
| Professional | | $237.52 | $237.52 | $325.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,999.99 / $99,999.99 / $99,999.99
| Facility | | $99,999.99 | $99,999.99 | $99,999.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.20 / $458.68 / $586.05
| Professional | | $275.20 | $458.68 | $586.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $468.84 / $468.84 / $468.84
| Professional | | $468.84 | $468.84 | $468.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $248.93 / $292.38 / $407.54
| Professional | | $248.93 | $292.38 | $407.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.80 / $325.80 / $586.05
| Professional | | $325.80 | $325.80 | $586.05 |