- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $13.10 / $13.93 / $17.04
| Facility | 26 | $13.10 | $13.93 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.31 / $22.48 / $32.14
| Professional | | $14.31 | $22.48 | $32.14 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.66 / $10.70 / $15.66
| Professional | 26 | $8.66 | $10.70 | $15.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $6.38 / $10.84 / $16.60
| Professional | TC | $6.38 | $10.84 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Professional | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $27.03 / $30.03
| Professional | | $20.42 | $27.03 | $30.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.72 / $15.52 / $17.23
| Professional | 26 | $11.72 | $15.52 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $8.69 / $11.51 / $12.79
| Professional | TC | $8.69 | $11.51 | $12.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $11.64 / $21.53
| Professional | | $7.92 | $11.64 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $29.44 / $49.09
| Professional | | $19.32 | $29.44 | $49.09 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.44 / $15.08 / $19.86
| Professional | 26 | $9.44 | $15.08 | $19.86 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $8.90 / $13.85 / $31.94
| Professional | TC | $8.90 | $13.85 | $31.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $26.27 / $38.81
| Professional | | $18.39 | $26.27 | $38.81 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.99 / $13.00 / $19.46
| Professional | 26 | $9.99 | $13.00 | $19.46 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $7.74 / $12.79 / $22.17
| Professional | TC | $7.74 | $12.79 | $22.17 |