- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $22.34 / $23.51 / $86.78
| Facility | 26 | $22.34 | $23.51 | $86.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.72 / $62.37 / $114.61
| Professional | | $43.72 | $62.37 | $114.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.24 / $25.96 / $50.84
| Professional | 26 | $21.24 | $25.96 | $50.84 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $51.64 / $55.29 / $113.10
| Facility | 26 | $51.64 | $55.29 | $113.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.68 / $90.62 / $497.00
| Professional | | $48.68 | $90.62 | $497.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.64 / $36.20 / $320.31
| Professional | 26 | $22.64 | $36.20 | $320.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.08 / $98.68 / $160.61
| Professional | | $59.08 | $98.68 | $160.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $25.60 / $40.82 / $68.54
| Professional | 26 | $25.60 | $40.82 | $68.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.59 / $41.96 / $85.65
| Professional | | $27.59 | $41.96 | $85.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.44 / $104.23 / $149.94
| Professional | | $27.44 | $104.23 | $149.94 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $27.44 / $54.40 / $71.76
| Professional | 26 | $27.44 | $54.40 | $71.76 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $51.64 / $113.10 / $113.10
| Facility | 26 | $51.64 | $113.10 | $113.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.02 / $93.04 / $497.00
| Professional | | $50.02 | $93.04 | $497.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $23.61 / $35.97 / $320.31
| Professional | 26 | $23.61 | $35.97 | $320.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.02 / $73.17 / $158.79
| Professional | | $50.02 | $73.17 | $158.79 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $23.61 / $29.55 / $57.58
| Professional | 26 | $23.61 | $29.55 | $57.58 |