- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $489.78
| Facility | | $371.54 | $371.54 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $52.48 / $933.25
| Professional | | $30.20 | $52.48 | $933.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.07 / $5.50
| Professional | | $3.02 | $4.07 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $354.81 / $467.74
| Professional | | $239.88 | $354.81 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.15 / $371.54 / $478.63
| Professional | | $269.15 | $371.54 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $60.26 / $87.10
| Professional | | $44.67 | $60.26 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.33 / $102.33 / $151.36
| Professional | | $102.33 | $102.33 | $151.36 |