- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $99.98 / $106.18 / $118.48
| Facility | 26 | $99.98 | $106.18 | $118.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.47 / $308.33 / $342.38
| Professional | | $217.47 | $308.33 | $342.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $254.99 / $300.89 / $359.99
| Professional | | $254.99 | $300.89 | $359.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.04 / $280.55 / $393.74
| Professional | | $220.04 | $280.55 | $393.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.28 / $291.08 / $456.14
| Professional | | $185.28 | $291.08 | $456.14 |