- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.60 / $447.60 / $447.60
| Facility | | $447.60 | $447.60 | $447.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.66 / $447.60 / $447.60
| Professional | | $258.66 | $447.60 | $447.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219,999.78 / $539,999.46 / $949,999.05
| Facility | | $219,999.78 | $539,999.46 | $949,999.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $695.21 / $920.13 / $1,022.37
| Professional | | $695.21 | $920.13 | $1,022.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.98 / $603.98 / $805.31
| Facility | | $603.98 | $603.98 | $805.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $805.31 / $805.31 / $805.31
| Professional | | $805.31 | $805.31 | $805.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.13 / $427.13 / $644.25
| Facility | | $427.13 | $427.13 | $644.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.80 / $427.13 / $629.15
| Professional | | $311.80 | $427.13 | $629.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.88 / $398.18 / $483.19
| Professional | | $200.88 | $398.18 | $483.19 |