- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.74 / $47.74 / $52.45
| Facility | | $47.74 | $47.74 | $52.45 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $45.11 / $45.11 / $49.17
| Facility | 26 | $45.11 | $45.11 | $49.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.50 / $47.74 / $49.32
| Professional | | $20.50 | $47.74 | $49.32 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $20.50 / $45.11 / $47.37
| Professional | 26 | $20.50 | $45.11 | $47.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $14.44 / $17.05
| Facility | | $7.48 | $14.44 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $18.72 / $57.01
| Professional | | $15.91 | $18.72 | $57.01 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.48 / $7.48 / $17.80
| Professional | 26 | $7.48 | $7.48 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $45.61 / $61.57
| Facility | | $2.99 | $45.61 | $61.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $45.25 / $61.59
| Professional | | $2.90 | $45.25 | $61.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $7.33 / $50.77
| Facility | | $2.10 | $7.33 | $50.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.45 / $43.45 / $69.06
| Professional | | $43.45 | $43.45 | $69.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.86 / $40.47 / $83.91
| Professional | 26 | $9.86 | $40.47 | $83.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.64 / $21.65 / $33.79
| Professional | | $16.64 | $21.65 | $33.79 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.64 / $21.64 / $35.72
| Professional | 26 | $16.64 | $21.64 | $35.72 |