- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $54.95 / $128.82
| Facility | | $44.67 | $54.95 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $22.91
| Professional | | $10.96 | $15.14 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $43.65 / $43.65 / $43.65
| Professional | 25 | $43.65 | $43.65 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $165.96 / $204.17
| Facility | | $31.62 | $165.96 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.98 / $34.67
| Professional | | $12.30 | $16.98 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.20 / $25.12 / $48.98
| Professional | 50 | $18.20 | $25.12 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $22.91 / $38.90
| Facility | | $19.50 | $22.91 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $17.78 / $35.48
| Professional | | $11.75 | $17.78 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $14.13 / $165.96
| Facility | | $10.23 | $14.13 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $15.14 / $24.55
| Professional | | $10.72 | $15.14 | $24.55 |