- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.77 / $509.53 / $617.09
| Facility | | $459.77 | $509.53 | $617.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $440.91 / $536.35 / $971.70
| Professional | | $440.91 | $536.35 | $971.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.27 / $616.27 / $616.27
| Facility | | $616.27 | $616.27 | $616.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $449.88 / $449.88 / $656.98
| Professional | | $449.88 | $449.88 | $656.98 |
- 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
- $528.94 / $881.56 / $1,593.04
| Professional | | $528.94 | $881.56 | $1,593.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $887.76 / $887.76 / $887.76
| Professional | | $887.76 | $887.76 | $887.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $433.48 / $553.62 / $783.48
| Professional | | $433.48 | $553.62 | $783.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $659.29 / $659.29 / $1,109.71
| Professional | | $659.29 | $659.29 | $1,109.71 |