- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.78 / $9.77 / $14.91
| Facility | 26 | $7.78 | $9.77 | $14.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.71 / $33.74 / $87.02
| Professional | | $21.71 | $33.74 | $87.02 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.03 / $9.15 / $27.95
| Professional | 26 | $7.03 | $9.15 | $27.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $86.52 / $99.89 / $102.21
| Professional | 50 | $86.52 | $99.89 | $102.21 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.82 / $23.06 / $46.78
| Professional | TC | $18.82 | $23.06 | $46.78 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.94 / $8.94 / $8.94
| Facility | 26 | $8.94 | $8.94 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.43 / $36.54 / $58.74
| Professional | | $27.43 | $36.54 | $58.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $10.50 / $16.19
| Professional | 26 | $7.76 | $10.50 | $16.19 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.17 / $48.63 / $80.75
| Professional | 50 | $38.17 | $48.63 | $80.75 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.07 / $26.13 / $43.71
| Professional | TC | $20.07 | $26.13 | $43.71 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Facility | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.04 / $39.10 / $67.54
| Professional | | $26.04 | $39.10 | $67.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.25 / $11.44 / $18.64
| Professional | 26 | $7.25 | $11.44 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $37.85 / $37.85 / $42.89
| Professional | 50 | $37.85 | $37.85 | $42.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.84 / $27.71 / $49.52
| Professional | TC | $18.84 | $27.71 | $49.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.02 / $34.29 / $59.84
| Professional | | $27.02 | $34.29 | $59.84 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.58 / $9.52 / $16.80
| Professional | 26 | $7.58 | $9.52 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.80 / $24.62 / $43.89
| Professional | TC | $18.80 | $24.62 | $43.89 |