- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.09 / $108.75 / $236.63
| Facility | | $64.09 | $108.75 | $236.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.73 / $63.47 / $78.65
| Professional | | $50.73 | $63.47 | $78.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.11 / $85.41 / $272.13
| Facility | | $76.11 | $85.41 | $272.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.46 / $33.03 / $67.40
| Professional | | $31.46 | $33.03 | $67.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.12 / $101.98 / $223.07
| Facility | | $51.12 | $101.98 | $223.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.09 / $80.73 / $113.06
| Professional | | $27.09 | $80.73 | $113.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.54 / $33.40 / $78.65
| Professional | | $23.54 | $33.40 | $78.65 |