- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.06 / $35.94 / $55.30
| Professional | | $28.06 | $35.94 | $55.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.28 / $43.64 / $47.57
| Professional | | $39.28 | $43.64 | $47.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.58 / $40.00 / $89.52
| Professional | | $29.58 | $40.00 | $89.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.06 / $38.09 / $85.48
| Professional | | $26.06 | $38.09 | $85.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.02 / $40.53 / $108.24
| Professional | | $33.02 | $40.53 | $108.24 |