- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.01 / $37.86 / $76.48
| Professional | | $22.01 | $37.86 | $76.48 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $11.01 / $18.94 / $38.25
| Professional | 52 | $11.01 | $18.94 | $38.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $21.56 / $27.76
| Professional | | $16.41 | $21.56 | $27.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.08 / $37.86 / $81.84
| Facility | | $25.08 | $37.86 | $81.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.56 / $71.34 / $90.44
| Professional | | $55.56 | $71.34 | $90.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.40 / $58.50 / $110.70
| Professional | | $32.40 | $58.50 | $110.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.69 / $39.47 / $81.84
| Facility | | $23.69 | $39.47 | $81.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.86 / $51.00 / $117.00
| Professional | | $20.86 | $51.00 | $117.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.05 / $35.88 / $72.81
| Professional | | $22.05 | $35.88 | $72.81 |