- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.36 / $298.64 / $507.45
| Professional | | $169.36 | $298.64 | $507.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.87 / $311.52 / $480.30
| Professional | | $226.87 | $311.52 | $480.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $303.68 / $370.14 / $561.54
| Professional | | $303.68 | $370.14 | $561.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $452.85
| Professional | | $32.34 | $32.34 | $452.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $286.95 / $376.52 / $540.61
| Professional | | $286.95 | $376.52 | $540.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $282.79 / $363.60 / $497.97
| Professional | | $282.79 | $363.60 | $497.97 |