- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.50 / $47.48 / $87.77
| Professional | | $16.50 | $47.48 | $87.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.05 / $55.45 / $130.93
| Professional | | $20.05 | $55.45 | $130.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.86 / $66.81 / $119.66
| Professional | | $19.86 | $66.81 | $119.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $118.34
| Professional | | $32.34 | $32.34 | $118.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.84 / $76.47 / $123.44
| Professional | | $56.84 | $76.47 | $123.44 |