- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.74 / $164.74 / $164.74
| Facility | | $164.74 | $164.74 | $164.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.20 / $164.74 / $164.74
| Professional | | $95.20 | $164.74 | $164.74 |
- 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
- $255.88 / $338.66 / $376.29
| Professional | | $255.88 | $338.66 | $376.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.30 / $222.30 / $222.62
| Facility | | $222.30 | $222.30 | $222.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $222.62 / $222.62 / $222.62
| Professional | | $222.62 | $222.62 | $222.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.31 / $182.31 / $237.12
| Facility | | $182.31 | $182.31 | $237.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.09 / $182.31 / $231.56
| Professional | | $133.09 | $182.31 | $231.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.94 / $146.55 / $177.84
| Professional | | $73.94 | $146.55 | $177.84 |