- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.31 / $168.23 / $243.08
| Professional | | $131.31 | $168.23 | $243.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $201.87 / $347.73 / $1,346.10
| Professional | | $201.87 | $347.73 | $1,346.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.10 / $135.10 / $135.10
| Professional | | $135.10 | $135.10 | $135.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.64 / $373.63 / $516.55
| Professional | | $199.64 | $373.63 | $516.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.88 / $264.49 / $449.94
| Professional | | $44.88 | $264.49 | $449.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.58 / $352.42 / $420.26
| Professional | | $235.58 | $352.42 | $420.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.97 / $300.52 / $409.10
| Professional | | $200.97 | $300.52 | $409.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.51 / $237.29 / $434.14
| Professional | | $169.51 | $237.29 | $434.14 |