- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $23.99 / $25.12 / $43.65
| Facility | 26 | $23.99 | $25.12 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $91.20 / $275.42
| Professional | | $61.66 | $91.20 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.60 / $30.20 / $66.07
| Professional | 26 | $16.60 | $30.20 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $181.97 / $199.53
| Professional | | $134.90 | $181.97 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $42.66 / $56.23 / $63.10
| Professional | 26 | $42.66 | $56.23 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $144.54 / $213.80
| Professional | | $70.79 | $144.54 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $19.95 / $36.31 / $60.26
| Professional | 26 | $19.95 | $36.31 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $562.34 / $831.76
| Professional | | $70.79 | $562.34 | $831.76 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.38 / $35.48 / $154.88
| Professional | 26 | $21.38 | $35.48 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $162.18 / $794.33
| Professional | | $75.86 | $162.18 | $794.33 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $19.05 / $30.90 / $63.10
| Professional | 26 | $19.05 | $30.90 | $63.10 |