- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.62 / $60.13 / $96.44
| Professional | | $28.62 | $60.13 | $96.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.05 / $59.24 / $161.94
| Professional | | $21.05 | $59.24 | $161.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.77 / $101.21 / $128.88
| Professional | | $98.77 | $101.21 | $128.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.06 / $78.89 / $107.35
| Professional | | $67.06 | $78.89 | $107.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.73 / $54.79 / $127.52
| Professional | | $43.73 | $54.79 | $127.52 |