- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $232.84 / $248.57 / $444.72
| Professional | | $232.84 | $248.57 | $444.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.40 / $363.40 / $388.90
| Professional | | $363.40 | $363.40 | $388.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.37 / $325.37 / $325.37
| Facility | | $325.37 | $325.37 | $325.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.52 / $237.52 / $450.25
| Professional | | $237.52 | $237.52 | $450.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.23 / $568.90 / $819.22
| Professional | | $398.23 | $568.90 | $819.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.79 / $283.82 / $452.40
| Professional | | $234.79 | $283.82 | $452.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.95 / $311.95 / $398.23
| Professional | | $311.95 | $311.95 | $398.23 |