- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.51 / $247.91 / $284.04
| Facility | | $230.51 | $247.91 | $284.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.51 / $284.04 / $401.85
| Professional | | $230.51 | $284.04 | $401.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.42 / $340.42 / $340.42
| Facility | | $340.42 | $340.42 | $340.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $248.51 / $248.51 / $340.42
| Professional | | $248.51 | $248.51 | $340.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.04 / $99,999.99 / $99,999.99
| Facility | | $187.04 | $99,999.99 | $99,999.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.46 / $379.45 / $539.91
| Professional | | $243.46 | $379.45 | $539.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.37 / $225.19 / $247.70
| Professional | | $146.37 | $225.19 | $247.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231.87 / $269.36 / $377.36
| Professional | | $231.87 | $269.36 | $377.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $225.19 / $225.19 / $303.77
| Professional | | $225.19 | $225.19 | $303.77 |