- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.32 / $34.50 / $34.50
| Professional | | $29.32 | $34.50 | $34.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $85.00
| Professional | | $50.00 | $70.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5,900.00 / $5,900.00 / $5,900.00
| Professional | | $5,900.00 | $5,900.00 | $5,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $65.00 / $100.00
| Facility | | $65.00 | $65.00 | $100.00 |