- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $342.47 / $439.27 / $510.97
| Professional | | $342.47 | $439.27 | $510.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $433.10 / $560.49 / $807.87
| Professional | | $433.10 | $560.49 | $807.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $435.82 / $625.73 / $896.31
| Professional | | $435.82 | $625.73 | $896.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $527.62 / $610.46 / $936.47
| Professional | | $527.62 | $610.46 | $936.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $342.47 / $449.32 / $510.97
| Professional | | $342.47 | $449.32 | $510.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $373.41 / $541.44 / $996.58
| Professional | | $373.41 | $541.44 | $996.58 |