- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.29 / $218.19 / $227.70
| Professional | | $162.29 | $218.19 | $227.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.91 / $316.56 / $905.35
| Professional | | $146.91 | $316.56 | $905.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.10 / $687.63 / $781.40
| Professional | | $135.10 | $687.63 | $781.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.97 / $369.50 / $943.35
| Professional | | $145.97 | $369.50 | $943.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.18 / $152.83 / $325.03
| Professional | | $92.18 | $152.83 | $325.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $283.33 / $359.57 / $654.02
| Professional | | $283.33 | $359.57 | $654.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.10 / $899.60 / $943.35
| Professional | | $135.10 | $899.60 | $943.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $153.05 / $359.84 / $837.29
| Professional | | $153.05 | $359.84 | $837.29 |