- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $373.17 / $471.56 / $784.91
| Professional | | $373.17 | $471.56 | $784.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.38 / $566.49 / $1,118.06
| Professional | | $279.38 | $566.49 | $1,118.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $545.54 / $739.52 / $838.20
| Professional | | $545.54 | $739.52 | $838.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $407.33 / $585.66 / $833.63
| Professional | | $407.33 | $585.66 | $833.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $296.45 / $524.01 / $1,057.56
| Professional | | $296.45 | $524.01 | $1,057.56 |