- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $19.25 / $19.95
| Facility | | $18.22 | $19.25 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $19.62 / $28.27
| Professional | | $16.82 | $19.62 | $28.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Professional | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.06 / $30.06 / $30.06
| Facility | | $30.06 | $30.06 | $30.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $21.94 / $30.06
| Professional | | $21.94 | $21.94 | $30.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.60 / $194.47 / $194.47
| Facility | | $187.60 | $194.47 | $194.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $249.13 / $259.10 / $299.85
| Professional | | $249.13 | $259.10 | $299.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $32.40 / $58.96
| Facility | | $17.55 | $32.40 | $58.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $17.55 / $32.40
| Professional | | $15.16 | $17.55 | $32.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.17 / $49.47 / $50.72
| Professional | | $47.17 | $49.47 | $50.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $30.06 / $56.63
| Facility | | $17.55 | $30.06 | $56.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $21.94 / $30.06
| Professional | | $21.94 | $21.94 | $30.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.13 / $22.77 / $42.45
| Professional | | $19.13 | $22.77 | $42.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.47 / $41.47 / $45.07
| Professional | | $41.47 | $41.47 | $45.07 |