- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.28 / $233.88 / $445.24
| Professional | | $129.28 | $233.88 | $445.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $221.41 / $280.91 / $583.17
| Professional | | $221.41 | $280.91 | $583.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $182.88 / $182.88 / $350.46
| Professional | | $182.88 | $182.88 | $350.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.19 / $318.43 / $777.34
| Professional | | $144.19 | $318.43 | $777.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $256.88 / $330.95 / $495.28
| Professional | | $256.88 | $330.95 | $495.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.18 / $269.95 / $458.25
| Professional | | $183.18 | $269.95 | $458.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.29 / $331.07 / $832.23
| Professional | | $162.29 | $331.07 | $832.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.55 / $295.56 / $756.64
| Professional | | $200.55 | $295.56 | $756.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.18 / $310.27 / $500.70
| Professional | | $183.18 | $310.27 | $500.70 |