- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.15 / $56.35 / $76.25
| Professional | | $50.15 | $56.35 | $76.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.58 / $42.10 / $50.73
| Professional | | $31.58 | $42.10 | $50.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.32 / $71.00 / $101.84
| Professional | | $44.32 | $71.00 | $101.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $100.00
| Professional | | $32.34 | $32.34 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.65 / $42.89 / $57.77
| Facility | | $33.65 | $42.89 | $57.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.00 / $70.38 / $101.63
| Professional | | $43.00 | $70.38 | $101.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.32 / $59.99 / $76.48
| Professional | | $43.32 | $59.99 | $76.48 |