- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.36 / $32.46 / $43.28
| Facility | | $19.36 | $32.46 | $43.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.35 / $19.36 / $55.36
| Professional | | $19.35 | $19.36 | $55.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.48 / $19.48 / $22.78
| Professional | | $19.48 | $19.48 | $22.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.40 / $52.54 / $75.09
| Facility | | $21.40 | $52.54 | $75.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.05 / $46.54 / $52.89
| Professional | | $22.05 | $46.54 | $52.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.36 / $21.64 / $39.71
| Facility | | $19.36 | $21.64 | $39.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $21.64 / $39.71
| Facility | | $14.88 | $21.64 | $39.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.78 / $22.78 / $34.17
| Professional | | $22.78 | $22.78 | $34.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $65.00 / $85.00
| Professional | | $15.00 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.36 / $21.64 / $39.71
| Facility | | $19.36 | $21.64 | $39.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $32.00 / $53.17
| Professional | | $30.00 | $32.00 | $53.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $90.00 / $90.00
| Facility | | $90.00 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.40 / $21.40 / $21.40
| Professional | | $21.40 | $21.40 | $21.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.84 / $30.38 / $35.10
| Professional | | $29.84 | $30.38 | $35.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.78 / $22.78 / $34.17
| Professional | | $22.78 | $22.78 | $34.17 |