- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.25 / $78.86 / $136.99
| Professional | | $65.25 | $78.86 | $136.99 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $32.63 / $36.53 / $46.82
| Professional | 52 | $32.63 | $36.53 | $46.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.38 / $84.89 / $140.34
| Professional | | $66.38 | $84.89 | $140.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.49 / $97.49 / $318.62
| Professional | | $97.49 | $97.49 | $318.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.59 / $108.00 / $189.49
| Professional | | $71.59 | $108.00 | $189.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.90 / $81.13 / $125.34
| Professional | | $64.90 | $81.13 | $125.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.00 / $113.27 / $161.00
| Professional | | $94.00 | $113.27 | $161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.48 / $104.38 / $200.93
| Professional | | $71.48 | $104.38 | $200.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.98 / $92.19 / $148.60
| Professional | | $61.98 | $92.19 | $148.60 |