- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $379.97 / $505.92 / $793.15
| Professional | | $379.97 | $505.92 | $793.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.20 / $425.40 / $446.67
| Professional | | $312.20 | $425.40 | $446.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $356.74 / $540.30 / $992.64
| Professional | | $356.74 | $540.30 | $992.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $583.29 / $706.09 / $920.99
| Professional | | $583.29 | $706.09 | $920.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $416.98 / $555.46 / $1,021.90
| Professional | | $416.98 | $555.46 | $1,021.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.49 / $434.39 / $706.09
| Professional | | $426.49 | $434.39 | $706.09 |