- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.01 / $56.92 / $259.19
| Professional | | $53.01 | $56.92 | $259.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.27 / $61.62 / $146.37
| Professional | | $52.27 | $61.62 | $146.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.88 / $99.09 / $146.37
| Professional | | $43.88 | $99.09 | $146.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.29 / $71.65 / $106.01
| Professional | | $34.29 | $71.65 | $106.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.20 / $38.67 / $95.54
| Professional | | $23.20 | $38.67 | $95.54 |