- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $40.74 / $91.20
| Facility | | $16.98 | $40.74 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- 25
- Low / Median / High Price
- $25.12 / $25.12 / $32.36
| Facility | 25 | $25.12 | $25.12 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $40.74 / $102.33
| Professional | | $16.98 | $40.74 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- 25
- Low / Median / High Price
- $63.10 / $128.82 / $131.83
| Professional | 25 | $63.10 | $128.82 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $36.31 / $102.33
| Facility | | $18.20 | $36.31 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $63.10
| Professional | | $15.14 | $23.44 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $162.18
| Facility | | $28.18 | $28.18 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- 25
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Facility | 25 | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $39.81 / $52.48
| Professional | | $36.31 | $39.81 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $33.88 / $97.72
| Facility | | $14.79 | $33.88 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $34.67 / $64.57
| Professional | | $16.98 | $34.67 | $64.57 |