- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.35 / $62.47 / $88.24
| Professional | | $42.35 | $62.47 | $88.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.65 / $80.63 / $131.77
| Professional | | $47.65 | $80.63 | $131.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.65 / $66.81 / $93.45
| Professional | | $32.65 | $66.81 | $93.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.32 / $106.53 / $158.05
| Professional | | $72.32 | $106.53 | $158.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.08 / $78.23 / $141.29
| Professional | | $55.08 | $78.23 | $141.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.54 / $62.55 / $62.55
| Professional | | $38.54 | $62.55 | $62.55 |