- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.28 / $37.42 / $73.98
| Professional | | $32.28 | $37.42 | $73.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.82 / $93.31 / $109.40
| Professional | | $84.82 | $93.31 | $109.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.83 / $84.96 / $143.83
| Professional | | $45.83 | $84.96 | $143.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.17 / $63.36 / $325.73
| Professional | | $39.17 | $63.36 | $325.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.13 / $61.42 / $84.56
| Professional | | $39.13 | $61.42 | $84.56 |