- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.99 / $202.89 / $219.17
| Professional | | $146.99 | $202.89 | $219.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.86 / $342.86 / $342.86
| Facility | | $342.86 | $342.86 | $342.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $292.14 / $292.14 / $292.14
| Professional | | $292.14 | $292.14 | $292.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.42 / $243.42 / $325.88
| Facility | | $243.42 | $243.42 | $325.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.91 / $243.42 / $319.49
| Professional | | $206.91 | $243.42 | $319.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $273.98 / $769.09 / $974.79
| Professional | | $273.98 | $769.09 | $974.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.16 / $225.41 / $298.48
| Professional | | $127.16 | $225.41 | $298.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $375.03 / $415.53 / $528.85
| Professional | | $375.03 | $415.53 | $528.85 |