- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.84 / $23.70 / $45.51
| Professional | | $18.84 | $23.70 | $45.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $35.00 / $42.35
| Professional | | $22.81 | $35.00 | $42.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.56 / $27.67 / $48.73
| Professional | | $21.56 | $27.67 | $48.73 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $32.34 / $41.51 / $73.09
| Professional | 50 | $32.34 | $41.51 | $73.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.81 / $26.08 / $30.42
| Facility | | $20.81 | $26.08 | $30.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.94 / $23.94 / $31.65
| Professional | | $23.94 | $23.94 | $31.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.73 / $29.29 / $50.85
| Professional | | $19.73 | $29.29 | $50.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.39 / $31.93 / $147.80
| Professional | | $26.39 | $31.93 | $147.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.87 / $34.11 / $61.31
| Professional | | $22.87 | $34.11 | $61.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.48 / $26.37 / $43.42
| Professional | | $20.48 | $26.37 | $43.42 |