- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.84 / $31.09 / $45.73
| Professional | | $16.84 | $31.09 | $45.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $18.97 / $36.09
| Professional | | $16.12 | $18.97 | $36.09 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $24.18 / $28.45 / $54.13
| Professional | 50 | $24.18 | $28.45 | $54.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.42 / $39.28 / $56.55
| Professional | | $31.42 | $39.28 | $56.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.44 / $44.06 / $75.59
| Professional | | $21.44 | $44.06 | $75.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.01 / $45.66 / $74.63
| Professional | | $30.01 | $45.66 | $74.63 |