- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.78 / $82.75 / $124.72
| Professional | | $69.78 | $82.75 | $124.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.89 / $118.03 / $158.27
| Professional | | $68.89 | $118.03 | $158.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.52 / $84.52 / $94.09
| Facility | | $84.52 | $84.52 | $94.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.64 / $124.49 / $207.46
| Professional | | $81.64 | $124.49 | $207.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.52 / $30.52 / $98.77
| Professional | | $30.52 | $30.52 | $98.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.53 / $108.41 / $219.18
| Professional | | $78.53 | $108.41 | $219.18 |