- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.26 / $35.81 / $39.32
| Facility | | $29.26 | $35.81 | $39.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.41 / $31.28 / $38.72
| Professional | | $21.41 | $31.28 | $38.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.68 / $35.99 / $65.92
| Professional | | $34.68 | $35.99 | $65.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.61 / $42.61 / $42.61
| Facility | | $42.61 | $42.61 | $42.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.95 / $30.95 / $44.29
| Professional | | $30.95 | $30.95 | $44.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.81 / $47.34 / $70.84
| Professional | | $34.81 | $47.34 | $70.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.26 / $31.92 / $39.32
| Facility | | $29.26 | $31.92 | $39.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.19 / $31.94 / $42.25
| Professional | | $23.19 | $31.94 | $42.25 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $131.00 / $131.00 / $145.00
| Professional | 25 | $131.00 | $131.00 | $145.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $28.18
| Professional | | $28.18 | $28.18 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.12 / $32.00 / $71.09
| Professional | | $19.12 | $32.00 | $71.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.61 / $42.61 / $42.61
| Facility | | $42.61 | $42.61 | $42.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.95 / $30.95 / $44.29
| Professional | | $30.95 | $30.95 | $44.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.38 / $28.98 / $34.00
| Facility | | $25.38 | $28.98 | $34.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.98 / $32.01 / $35.49
| Professional | | $28.98 | $32.01 | $35.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.51 / $39.26 / $65.83
| Professional | | $30.51 | $39.26 | $65.83 |