- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $335.27 / $400.77 / $625.27
| Professional | | $335.27 | $400.77 | $625.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $538.42 / $634.67 / $1,406.40
| Professional | | $538.42 | $634.67 | $1,406.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $341.33 / $591.40 / $678.06
| Professional | | $341.33 | $591.40 | $678.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $341.33 / $575.16 / $678.06
| Professional | | $341.33 | $575.16 | $678.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $437.54 / $480.74 / $1,612.21
| Professional | | $437.54 | $480.74 | $1,612.21 |