- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.85 / $407.04 / $683.45
| Facility | | $209.85 | $407.04 | $683.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Professional | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $216.62 / $406.77 / $672.34
| Facility | | $216.62 | $406.77 | $672.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.64 / $413.60 / $667.61
| Facility | | $332.64 | $413.60 | $667.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.51 / $103.51 / $103.51
| Professional | | $103.51 | $103.51 | $103.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Professional | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.92 / $47.92 / $47.92
| Professional | | $47.92 | $47.92 | $47.92 |