- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.51 / $33.53 / $46.32
| Professional | | $30.51 | $33.53 | $46.32 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $15.19 / $16.77 / $23.16
| Professional | 52 | $15.19 | $16.77 | $23.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.10 / $42.00 / $48.95
| Professional | | $41.10 | $42.00 | $48.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.57 / $43.24 / $51.64
| Professional | | $22.57 | $43.24 | $51.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.67 / $45.61 / $53.68
| Professional | | $27.67 | $45.61 | $53.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.26 / $42.65 / $98.77
| Professional | | $32.26 | $42.65 | $98.77 |