- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.00 / $24.00 / $30.00
| Professional | | $24.00 | $24.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Professional | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $90.00 / $90.00
| Facility | | $90.00 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.69 / $36.69 / $36.69
| Professional | | $36.69 | $36.69 | $36.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.69 / $36.69 / $36.69
| Professional | | $36.69 | $36.69 | $36.69 |