- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.57 / $33.54 / $40.32
| Professional | | $28.57 | $33.54 | $40.32 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.11 / $6.97 / $8.69
| Professional | 26 | $6.11 | $6.97 | $8.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.47 / $45.52 / $66.58
| Professional | | $32.47 | $45.52 | $66.58 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.28 / $9.19 / $13.12
| Professional | 26 | $7.28 | $9.19 | $13.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.26 / $45.11 / $82.41
| Professional | | $42.26 | $45.11 | $82.41 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $8.94 / $11.37
| Professional | 26 | $8.91 | $8.94 | $11.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.42 / $43.17 / $81.03
| Professional | | $28.42 | $43.17 | $81.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.45 / $10.39 / $17.44
| Professional | 26 | $6.45 | $10.39 | $17.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.38 / $47.26 / $57.24
| Professional | | $39.38 | $47.26 | $57.24 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.27 / $8.98 / $10.69
| Professional | 26 | $7.27 | $8.98 | $10.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $39.00 / $68.00
| Professional | | $10.64 | $39.00 | $68.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.69 / $42.67 / $75.12
| Professional | | $11.69 | $42.67 | $75.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.14 / $11.34 / $16.62
| Professional | 26 | $8.14 | $11.34 | $16.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.56 / $40.98 / $72.86
| Professional | | $24.56 | $40.98 | $72.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.30 / $9.47 / $15.91
| Professional | 26 | $6.30 | $9.47 | $15.91 |