- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.31 / $105.52 / $255.69
| Professional | | $78.31 | $105.52 | $255.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.56 / $241.87 / $522.35
| Professional | | $117.56 | $241.87 | $522.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.91 / $171.67 / $320.14
| Professional | | $98.91 | $171.67 | $320.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.88 / $239.20 / $696.72
| Professional | | $123.88 | $239.20 | $696.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.91 / $95.42 / $221.50
| Professional | | $58.91 | $95.42 | $221.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.64 / $288.82 / $401.35
| Professional | | $200.64 | $288.82 | $401.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.57 / $455.95 / $922.64
| Professional | | $115.57 | $455.95 | $922.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $179.50 / $398.93 / $532.36
| Professional | | $179.50 | $398.93 | $532.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.64 / $193.90 / $489.90
| Professional | | $113.64 | $193.90 | $489.90 |