- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.78 / $40.09 / $57.32
| Professional | | $28.78 | $40.09 | $57.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $47.89 / $67.80
| Professional | | $27.54 | $47.89 | $67.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.92 / $28.95 / $36.68
| Professional | | $22.92 | $28.95 | $36.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.14 / $50.15 / $54.60
| Professional | | $45.14 | $50.15 | $54.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.32 / $34.65 / $54.05
| Professional | | $31.32 | $34.65 | $54.05 |