- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $42.66 / $107.15
| Professional | | $28.84 | $42.66 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $51.29 / $138.04
| Professional | | $39.81 | $51.29 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $46.77 / $81.28
| Professional | | $32.36 | $46.77 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $34.67 / $53.70
| Professional | | $16.22 | $34.67 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $57.54
| Professional | | $32.36 | $33.11 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $36.31 / $61.66
| Professional | | $26.30 | $36.31 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $48.98
| Professional | | $33.11 | $33.11 | $48.98 |