- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.57 / $15.99 / $38.86
| Professional | | $12.57 | $15.99 | $38.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.06 / $14.09 / $32.14
| Professional | | $13.06 | $14.09 | $32.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.07 / $34.61
| Professional | | $12.96 | $16.07 | $34.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $16.88 / $31.50
| Professional | | $11.82 | $16.88 | $31.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.60 / $18.73 / $39.19
| Professional | | $13.60 | $18.73 | $39.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.02 / $18.02 / $22.46
| Professional | | $14.02 | $18.02 | $22.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $18.02 / $32.90
| Professional | | $12.08 | $18.02 | $32.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.55 / $82.55 / $84.95
| Facility | | $82.55 | $82.55 | $84.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.79 / $98.45 / $124.95
| Professional | | $89.79 | $98.45 | $124.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $18.52 / $24.30
| Facility | | $14.66 | $18.52 | $24.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $19.48 / $39.50
| Professional | | $13.74 | $19.48 | $39.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.63 / $48.63 / $52.23
| Professional | | $48.63 | $48.63 | $52.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.13 / $18.48 / $20.03
| Professional | | $15.13 | $18.48 | $20.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.70 / $14.85 / $26.78
| Professional | | $11.70 | $14.85 | $26.78 |