- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $23.60 / $29.26
| Facility | | $17.93 | $23.60 | $29.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.93 / $23.60 / $32.27
| Professional | | $17.93 | $23.60 | $32.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.94 / $39.72 / $100.36
| Facility | | $22.94 | $39.72 | $100.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.10 / $17.10 / $19.19
| Professional | | $17.10 | $17.10 | $19.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $10.85 / $35.93
| Facility | | $10.85 | $10.85 | $35.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $22.13 / $22.13
| Facility | | $5.42 | $22.13 | $22.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $18.80 / $22.13
| Professional | | $18.80 | $18.80 | $22.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.95 / $175.04 / $175.04
| Facility | | $165.95 | $175.04 | $175.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.85 / $199.53 / $276.38
| Professional | | $194.85 | $199.53 | $276.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $26.96 / $35.93
| Facility | | $10.09 | $26.96 | $35.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.45 / $31.16 / $35.93
| Professional | | $12.45 | $31.16 | $35.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $25.70 / $35.93
| Facility | | $10.09 | $25.70 | $35.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $18.80 / $27.43
| Professional | | $18.80 | $18.80 | $27.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $17.00 / $22.43
| Professional | | $13.02 | $17.00 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.63 / $16.63 / $35.93
| Professional | | $16.63 | $16.63 | $35.93 |