- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $14.69 / $21.75
| Facility | | $12.65 | $14.69 | $21.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $14.86 / $29.66
| Professional | | $10.66 | $14.86 | $29.66 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $17.85 / $28.99 / $34.69
| Professional | 25 | $17.85 | $28.99 | $34.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.26 / $57.05 / $57.05
| Facility | | $10.26 | $57.05 | $57.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.29 / $25.65 / $199.96
| Professional | | $13.29 | $25.65 | $199.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.33 / $16.92 / $69.39
| Facility | | $13.33 | $16.92 | $69.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.19 / $22.28 / $29.61
| Professional | | $15.19 | $22.28 | $29.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $15.71 / $15.71
| Facility | | $15.71 | $15.71 | $15.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $21.58 / $35.24
| Professional | | $12.56 | $21.58 | $35.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.73 / $11.73 / $14.95
| Facility | | $11.73 | $11.73 | $14.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $14.87 / $25.78
| Professional | | $8.43 | $14.87 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.05 / $31.10 / $39.10
| Professional | | $16.05 | $31.10 | $39.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $17.98 / $19.10
| Facility | | $17.98 | $17.98 | $19.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.53 / $23.06 / $46.70
| Professional | | $16.53 | $23.06 | $46.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.05 / $57.05 / $57.05
| Facility | | $57.05 | $57.05 | $57.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.31 / $25.40 / $199.96
| Professional | | $14.31 | $25.40 | $199.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.72 / $42.46
| Facility | | $8.77 | $11.72 | $42.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $15.01 / $27.80
| Professional | | $10.18 | $15.01 | $27.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $21.17 / $38.86
| Professional | | $13.55 | $21.17 | $38.86 |