- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $25.70 / $51.29
| Professional | | $16.98 | $25.70 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $26.30
| Professional | | $26.30 | $26.30 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $25.70 / $67.61
| Professional | | $20.89 | $25.70 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $31.62 / $38.90 / $102.33
| Professional | 50 | $31.62 | $38.90 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Facility | | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $34.67
| Professional | | $32.36 | $32.36 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $36.31
| Facility | | $36.31 | $36.31 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $29.51 / $70.79
| Professional | | $16.60 | $29.51 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Facility | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $31.62 / $52.48
| Professional | | $28.18 | $31.62 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $26.30 / $51.29
| Professional | | $18.62 | $26.30 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $29.51 / $30.20
| Professional | | $28.84 | $29.51 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $29.51 / $29.51
| Professional | | $26.92 | $29.51 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $34.67 / $66.07
| Professional | | $26.30 | $34.67 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $20.42 / $42.66
| Professional | | $14.45 | $20.42 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $22.91 / $51.29
| Professional | | $18.62 | $22.91 | $51.29 |