- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $25.78 / $36.69 / $39.08
| Facility | 26 | $25.78 | $36.69 | $39.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.02 / $144.30 / $160.56
| Professional | | $124.02 | $144.30 | $160.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.28 / $133.35 / $183.11
| Professional | | $27.28 | $133.35 | $183.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.63 / $142.81 / $217.91
| Professional | | $84.63 | $142.81 | $217.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $61.36 / $118.08 / $118.08
| Facility | 26 | $61.36 | $118.08 | $118.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.63 / $149.22 / $1,025.66
| Professional | | $112.63 | $149.22 | $1,025.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.56 / $134.24 / $243.55
| Professional | | $108.56 | $134.24 | $243.55 |