- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.67 / $111.43 / $154.57
| Professional | | $90.67 | $111.43 | $154.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,999.99 / $64,999.99 / $89,999.99
| Facility | | $64,999.99 | $64,999.99 | $89,999.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.08 / $170.89 / $189.29
| Professional | | $111.08 | $170.89 | $189.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.89 / $189.29 / $331.37
| Facility | | $170.89 | $189.29 | $331.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.00 / $119.00 / $185.37
| Professional | | $85.00 | $119.00 | $185.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.73 / $122.68 / $189.29
| Facility | | $99.73 | $122.68 | $189.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.00 / $144.82 / $246.80
| Professional | | $96.00 | $144.82 | $246.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.30 / $189.28 / $243.96
| Professional | | $120.30 | $189.28 | $243.96 |