- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $134.90 / $346.74
| Professional | | $70.79 | $134.90 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $125.89 / $199.53
| Professional | | $79.43 | $125.89 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.10 / $154.88 / $275.42
| Professional | | $87.10 | $154.88 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $131.83 / $229.09
| Professional | | $69.18 | $131.83 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $138.04 / $346.74
| Professional | | $70.79 | $138.04 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $128.82 / $229.09
| Professional | | $74.13 | $128.82 | $229.09 |