- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.07 / $367.17 / $570.33
| Professional | | $307.07 | $367.17 | $570.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $361.09 / $467.30 / $673.44
| Professional | | $361.09 | $467.30 | $673.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.75 / $525.32 / $748.23
| Professional | | $363.75 | $525.32 | $748.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $439.82 / $508.87 / $780.64
| Professional | | $439.82 | $508.87 | $780.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.18 / $333.60 / $429.89
| Professional | | $280.18 | $333.60 | $429.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.81 / $459.37 / $703.02
| Professional | | $316.81 | $459.37 | $703.02 |