- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.69 / $25.34 / $38.85
| Professional | | $19.69 | $25.34 | $38.85 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $9.85 / $12.50 / $14.41
| Professional | 52 | $9.85 | $12.50 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.01 / $45.01 / $45.01
| Professional | | $45.01 | $45.01 | $45.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Professional | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.71 / $30.02 / $42.46
| Professional | | $28.71 | $30.02 | $42.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $26.85 / $48.82
| Professional | | $17.29 | $26.85 | $48.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.86 / $40.40 / $60.46
| Professional | | $35.86 | $40.40 | $60.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.15 / $37.22 / $48.01
| Professional | | $34.15 | $37.22 | $48.01 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $20.32 / $20.32 / $20.32
| Professional | 52 | $20.32 | $20.32 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Professional | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.69 / $27.87 / $50.48
| Professional | | $20.69 | $27.87 | $50.48 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $9.97 / $12.67 / $16.86
| Professional | 52 | $9.97 | $12.67 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.70 / $18.70 / $43.68
| Professional | | $18.70 | $18.70 | $43.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.92 / $27.29 / $49.01
| Professional | | $17.92 | $27.29 | $49.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $25.39 / $28.54
| Professional | | $18.00 | $25.39 | $28.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.30 / $22.66 / $44.74
| Professional | | $14.30 | $22.66 | $44.74 |