- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.45 / $129.99 / $501.30
| Professional | | $73.45 | $129.99 | $501.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.48 / $174.89 / $1,554.00
| Professional | | $80.48 | $174.89 | $1,554.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.46 / $137.68 / $189.59
| Professional | | $92.46 | $137.68 | $189.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.26 / $166.58 / $282.13
| Professional | | $86.26 | $166.58 | $282.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.96 / $79.12 / $139.83
| Professional | | $42.96 | $79.12 | $139.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.43 / $159.55 / $250.23
| Professional | | $86.43 | $159.55 | $250.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.18 / $147.90 / $243.76
| Professional | | $113.18 | $147.90 | $243.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.34 / $209.55 / $1,554.00
| Professional | | $103.34 | $209.55 | $1,554.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.19 / $178.65 / $288.05
| Professional | | $94.19 | $178.65 | $288.05 |