- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.59 / $17.47 / $30.13
| Professional | | $13.59 | $17.47 | $30.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.58 / $25.58 / $27.86
| Professional | | $25.58 | $25.58 | $27.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.29 / $26.19 / $47.50
| Professional | | $14.29 | $26.19 | $47.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.65 / $34.65 / $34.65
| Professional | | $34.65 | $34.65 | $34.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.97 / $35.97 / $35.97
| Facility | | $35.97 | $35.97 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.18 / $58.00 / $102.91
| Professional | | $24.18 | $58.00 | $102.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.35 / $34.90 / $51.09
| Professional | | $31.35 | $34.90 | $51.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.86 / $25.86 / $25.86
| Facility | | $25.86 | $25.86 | $25.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.62 / $25.56 / $34.65
| Professional | | $22.62 | $25.56 | $34.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.19 / $24.57 / $30.05
| Professional | | $22.19 | $24.57 | $30.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.25 / $23.25 / $24.41
| Professional | | $23.25 | $23.25 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.97 / $35.97 / $35.97
| Facility | | $35.97 | $35.97 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.59 / $57.88 / $101.84
| Professional | | $24.59 | $57.88 | $101.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $27.15 / $50.92
| Professional | | $21.38 | $27.15 | $50.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.86 / $25.86 / $25.86
| Facility | | $25.86 | $25.86 | $25.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.62 / $26.79 / $37.36
| Professional | | $22.62 | $26.79 | $37.36 |