- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.58 / $180.77 / $234.42
| Facility | | $47.58 | $180.77 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.51 / $78.84 / $131.57
| Professional | | $45.51 | $78.84 | $131.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.60 / $63.18 / $90.29
| Professional | | $52.60 | $63.18 | $90.29 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $78.90 / $94.77 / $135.44
| Professional | 50 | $78.90 | $94.77 | $135.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.41 / $101.62 / $175.90
| Professional | | $58.41 | $101.62 | $175.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.36 / $98.10 / $155.21
| Professional | | $59.36 | $98.10 | $155.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.95 / $180.77 / $293.35
| Facility | | $73.95 | $180.77 | $293.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.50 / $78.84 / $127.06
| Professional | | $45.50 | $78.84 | $127.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.24 / $136.72 / $165.01
| Professional | | $105.24 | $136.72 | $165.01 |