- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $436.52 / $724.44
| Facility | | $44.67 | $436.52 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $47.86 / $812.83
| Professional | | $32.36 | $47.86 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.03
| Facility | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $53.70
| Professional | | $52.48 | $52.48 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $331.13 / $331.13
| Facility | | $331.13 | $331.13 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $457.09 / $645.65
| Professional | | $380.19 | $457.09 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $48.98 / $63.10
| Professional | | $39.81 | $48.98 | $63.10 |