- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $34.61 / $68.81
| Professional | | $29.51 | $34.61 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.95 / $16.59 / $18.32
| Professional | 52 | $12.95 | $16.59 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.61 / $40.33 / $77.93
| Professional | | $33.61 | $40.33 | $77.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.62 / $37.79 / $67.04
| Professional | | $24.62 | $37.79 | $67.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.77 / $54.05 / $78.08
| Professional | | $47.77 | $54.05 | $78.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.69 / $22.14 / $40.67
| Professional | | $16.69 | $22.14 | $40.67 |