- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.88 / $57.85 / $1,316.48
| Facility | | $0.88 | $57.85 | $1,316.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $0.52 / $0.52
| Professional | | $0.52 | $0.52 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $6.87 / $6.87
| Professional | | $6.87 | $6.87 | $6.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.00 / $345.40 / $345.40
| Professional | | $100.00 | $345.40 | $345.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |