- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $38.02 / $95.50
| Professional | | $27.54 | $38.02 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $13.80 / $31.62 / $87.10
| Professional | 52 | $13.80 | $31.62 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $38.02 / $74.13
| Professional | | $32.36 | $38.02 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $9.12 / $9.12 / $9.12
| Professional | 52 | $9.12 | $9.12 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $39.81 / $72.44
| Professional | | $37.15 | $39.81 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $35.48 / $63.10
| Professional | | $21.38 | $35.48 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $54.95 / $83.18
| Professional | | $48.98 | $54.95 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $38.90 / $64.57
| Professional | | $17.38 | $38.90 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $48.98 / $63.10
| Professional | | $44.67 | $48.98 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $6.92 / $23.44 / $27.54
| Professional | 52 | $6.92 | $23.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $39.81 / $104.71
| Professional | | $27.54 | $39.81 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $13.80 / $30.90 / $91.20
| Professional | 52 | $13.80 | $30.90 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $61.66
| Professional | | $21.88 | $21.88 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $21.88 / $33.88
| Professional | | $8.32 | $21.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $30.20 / $54.95
| Professional | | $18.20 | $30.20 | $54.95 |