- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.84 / $125.42 / $162.58
| Professional | | $110.84 | $125.42 | $162.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,999.99 / $81,499.99 / $94,999.99
| Facility | | $64,999.99 | $81,499.99 | $94,999.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $240.82 / $240.82 / $240.82
| Professional | | $240.82 | $240.82 | $240.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $240.82 / $240.82 / $286.25
| Facility | | $240.82 | $240.82 | $286.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.07 / $204.70 / $325.06
| Professional | | $89.07 | $204.70 | $325.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $240.82 / $240.82 / $286.25
| Facility | | $240.82 | $240.82 | $286.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.87 / $181.45 / $325.06
| Professional | | $124.87 | $181.45 | $325.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.18 / $217.74 / $242.56
| Professional | | $118.18 | $217.74 | $242.56 |