- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.97 / $157.06 / $195.86
| Professional | | $135.97 | $157.06 | $195.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.85 / $375.34 / $1,460.40
| Professional | | $230.85 | $375.34 | $1,460.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.15 / $154.15 / $154.15
| Professional | | $154.15 | $154.15 | $154.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $149.80 / $200.73 / $359.19
| Professional | | $149.80 | $200.73 | $359.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.14 / $248.22 / $432.33
| Professional | | $46.14 | $248.22 | $432.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $241.39 / $368.21 / $471.69
| Professional | | $241.39 | $368.21 | $471.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.01 / $295.26 / $429.94
| Professional | | $237.01 | $295.26 | $429.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $219.84 / $292.89 / $500.14
| Professional | | $219.84 | $292.89 | $500.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.00 / $143.00 / $168.99
| Professional | | $143.00 | $143.00 | $168.99 |