- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.66 / $379.75 / $435.07
| Facility | | $342.66 | $379.75 | $435.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.45 / $392.76 / $724.19
| Professional | | $309.45 | $392.76 | $724.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $626.01 / $626.01 / $626.01
| Facility | | $626.01 | $626.01 | $626.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.99 / $456.99 / $626.01
| Professional | | $456.99 | $456.99 | $626.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.44 / $99,999.99 / $99,999.99
| Facility | | $286.44 | $99,999.99 | $99,999.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $372.92 / $581.20 / $827.04
| Professional | | $372.92 | $581.20 | $827.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.77 / $187.35 / $206.08
| Professional | | $121.77 | $187.35 | $206.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.58 / $403.99 / $541.14
| Professional | | $340.58 | $403.99 | $541.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $187.35 / $187.35 / $452.97
| Professional | | $187.35 | $187.35 | $452.97 |