- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $25.70 / $42.66
| Facility | | $20.89 | $25.70 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $38.02 / $95.50
| Professional | | $19.95 | $38.02 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $51.29 / $134.90
| Facility | | $22.39 | $51.29 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $33.11 / $251.19
| Professional | | $19.95 | $33.11 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $27.54
| Facility | | $27.54 | $27.54 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $34.67 / $72.44
| Professional | | $22.91 | $34.67 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $44.67 / $8,511.38
| Facility | | $21.38 | $44.67 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $21.88 / $39.81
| Professional | | $12.30 | $21.88 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $38.02 / $57.54
| Professional | | $21.38 | $38.02 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $36.31 / $51.29
| Professional | | $20.89 | $36.31 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $51.29 / $134.90
| Facility | | $22.39 | $51.29 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $33.11 / $251.19
| Professional | | $20.42 | $33.11 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $22.91 / $69.18
| Professional | | $17.78 | $22.91 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $25.12
| Facility | | $25.12 | $25.12 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $33.88 / $64.57
| Professional | | $22.91 | $33.88 | $64.57 |