- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.58 / $28.05 / $34.22
| Professional | | $24.58 | $28.05 | $34.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.07 / $21.38 / $35.02
| Professional | | $18.07 | $21.38 | $35.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.23 / $32.22 / $39.14
| Professional | | $19.23 | $32.22 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $27.94 / $105.01
| Professional | | $19.32 | $27.94 | $105.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.00 / $26.38 / $35.52
| Professional | | $19.00 | $26.38 | $35.52 |