- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $20.89 / $60.26
| Facility | | $16.60 | $20.89 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $20.89
| Professional | | $7.94 | $10.96 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $35.48 / $42.66
| Facility | | $21.88 | $35.48 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $13.49 / $23.99
| Professional | | $7.94 | $13.49 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $28.84 / $33.88
| Professional | | $13.49 | $28.84 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $18.62
| Facility | | $13.49 | $13.49 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $16.22 / $23.99
| Professional | | $13.49 | $16.22 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $25.70
| Facility | | $13.49 | $13.49 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $39.81
| Facility | | $12.02 | $18.62 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $16.22 / $79.43
| Professional | | $12.02 | $16.22 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $39.81 / $54.95
| Facility | | $19.95 | $39.81 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.30 / $16.22
| Professional | | $10.00 | $12.30 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $21.38
| Facility | | $16.22 | $16.22 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $6.92 / $16.60
| Professional | | $5.62 | $6.92 | $16.60 |