- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $14.34 / $27.90
| Professional | | $11.36 | $14.34 | $27.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.53 / $32.22 / $38.01
| Professional | | $31.53 | $32.22 | $38.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.87 / $31.08 / $42.78
| Professional | | $24.87 | $31.08 | $42.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $21.92 / $329.02
| Professional | | $12.06 | $21.92 | $329.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $19.96 / $28.58
| Professional | | $11.55 | $19.96 | $28.58 |