- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $33.11 / $57.54
| Professional | | $25.12 | $33.11 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $44.67
| Professional | | $25.12 | $31.62 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $11.22 / $11.22 / $11.22
| Professional | 52 | $11.22 | $11.22 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $30.20 / $64.57
| Professional | | $18.62 | $30.20 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $26.92 / $36.31
| Professional | | $19.50 | $26.92 | $36.31 |