- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.99 / $275.98 / $408.42
| Professional | | $217.99 | $275.98 | $408.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.00 / $281.00 / $357.71
| Professional | | $281.00 | $281.00 | $357.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.50 / $338.50 / $338.50
| Facility | | $338.50 | $338.50 | $338.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $247.11 / $247.11 / $338.50
| Professional | | $247.11 | $247.11 | $338.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $366.30 / $523.28 / $753.52
| Professional | | $366.30 | $523.28 | $753.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.71 / $269.62 / $413.97
| Professional | | $235.71 | $269.62 | $413.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.64 / $316.64 / $366.30
| Professional | | $316.64 | $316.64 | $366.30 |