- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.33 / $37.72 / $45.36
| Professional | | $28.33 | $37.72 | $45.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.41 / $71.59 / $98.80
| Professional | | $54.41 | $71.59 | $98.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.22 / $35.81 / $73.14
| Professional | | $26.22 | $35.81 | $73.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.79 / $40.77 / $52.07
| Professional | | $32.79 | $40.77 | $52.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.05 / $33.81 / $47.36
| Professional | | $27.05 | $33.81 | $47.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.38 / $40.77 / $59.45
| Professional | | $32.38 | $40.77 | $59.45 |