- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.80 / $25.72 / $29.19
| Facility | | $19.80 | $25.72 | $29.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.80 / $26.06 / $34.75
| Professional | | $19.80 | $26.06 | $34.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.66 / $47.94 / $111.86
| Facility | | $22.66 | $47.94 | $111.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.07 / $21.20 / $21.20
| Professional | | $19.07 | $21.20 | $21.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.68 / $39.68 / $39.68
| Facility | | $39.68 | $39.68 | $39.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.33 / $19.37 / $19.95
| Facility | | $5.33 | $19.37 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.19 / $16.46 / $19.37
| Professional | | $16.19 | $16.46 | $19.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.68 / $188.48 / $188.48
| Facility | | $178.68 | $188.48 | $188.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $196.42 / $199.53 / $297.60
| Professional | | $196.42 | $199.53 | $297.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $29.76 / $39.68
| Facility | | $10.86 | $29.76 | $39.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $33.72 / $39.68
| Professional | | $13.40 | $33.72 | $39.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $28.40 / $39.68
| Facility | | $10.86 | $28.40 | $39.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.19 / $16.46 / $28.04
| Professional | | $16.19 | $16.46 | $28.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.02 / $18.30 / $24.14
| Professional | | $14.02 | $18.30 | $24.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $39.68
| Professional | | $17.89 | $17.89 | $39.68 |