- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.99 / $59.36 / $91.48
| Professional | | $32.99 | $59.36 | $91.48 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $60.00 / $60.00 / $93.43
| Professional | 25 | $60.00 | $60.00 | $93.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.18 / $75.13 / $137.01
| Professional | | $71.18 | $75.13 | $137.01 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $76.54 / $76.54 / $125.74
| Professional | 25 | $76.54 | $76.54 | $125.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.20 / $61.61 / $102.45
| Professional | | $42.20 | $61.61 | $102.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.92 / $63.80 / $130.63
| Professional | | $39.92 | $63.80 | $130.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.62 / $70.48 / $110.98
| Facility | | $46.62 | $70.48 | $110.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.41 / $100.72 / $136.88
| Professional | | $78.41 | $100.72 | $136.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.49 / $72.12 / $90.22
| Professional | | $51.49 | $72.12 | $90.22 |