- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.99 / $180.60 / $215.66
| Professional | | $89.99 | $180.60 | $215.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.25 / $124.78 / $290.57
| Professional | | $98.25 | $124.78 | $290.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.60 / $104.60 / $104.60
| Professional | | $104.60 | $104.60 | $104.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.92 / $206.02 / $313.14
| Facility | | $168.92 | $206.02 | $313.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $242.38 / $315.08 / $479.91
| Professional | | $242.38 | $315.08 | $479.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.17 / $108.72 / $155.97
| Professional | | $98.17 | $108.72 | $155.97 |