- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $541.60 / $662.82 / $712.56
| Professional | | $541.60 | $662.82 | $712.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $532.29 / $688.85 / $986.84
| Professional | | $532.29 | $688.85 | $986.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $518.79 / $795.38 / $1,132.19
| Professional | | $518.79 | $795.38 | $1,132.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $644.27 / $745.42 / $1,143.51
| Professional | | $644.27 | $745.42 | $1,143.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $584.77 / $662.82 / $820.31
| Professional | | $584.77 | $662.82 | $820.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $503.75 / $920.35 / $1,150.43
| Professional | | $503.75 | $920.35 | $1,150.43 |