- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.33 / $25.46 / $33.99
| Facility | | $23.33 | $25.46 | $33.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.89 / $27.70 / $35.61
| Professional | | $21.89 | $27.70 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.08 / $33.29 / $60.17
| Professional | | $32.08 | $33.29 | $60.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $38.79 / $38.79
| Facility | | $38.79 | $38.79 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.83 / $36.99 / $72.97
| Professional | | $23.83 | $36.99 | $72.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.54 / $47.83 / $65.95
| Professional | | $32.54 | $47.83 | $65.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.33 / $25.46 / $33.99
| Facility | | $23.33 | $25.46 | $33.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.65 / $29.95 / $41.91
| Professional | | $22.65 | $29.95 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.90 / $64.90 / $64.90
| Professional | | $64.90 | $64.90 | $64.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.79 / $38.79 / $38.79
| Facility | | $38.79 | $38.79 | $38.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.93 / $38.13 / $76.06
| Professional | | $23.93 | $38.13 | $76.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.86 / $27.31 / $35.50
| Facility | | $23.86 | $27.31 | $35.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.86 / $30.73 / $33.13
| Professional | | $23.86 | $30.73 | $33.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.27 / $25.27 / $25.27
| Facility | | $25.27 | $25.27 | $25.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.93 / $33.78 / $60.44
| Professional | | $28.93 | $33.78 | $60.44 |