- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $46.18 / $224.42 / $429.24
| Facility | 26 | $46.18 | $224.42 | $429.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.59 / $136.04 / $233.12
| Professional | | $126.59 | $136.04 | $233.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $188.63 / $189.99 / $1,536.80
| Professional | | $188.63 | $189.99 | $1,536.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.51 / $364.41 / $673.83
| Professional | | $129.51 | $364.41 | $673.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $153.80 / $178.08 / $336.21
| Professional | | $153.80 | $178.08 | $336.21 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $51.25 / $59.35 / $112.84
| Professional | 26 | $51.25 | $59.35 | $112.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.34 / $315.26 / $426.02
| Professional | | $144.34 | $315.26 | $426.02 |