- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.99 / $16.02 / $16.80
| Professional | | $15.99 | $16.02 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $179,999.82 / $179,999.82 / $539,999.46
| Facility | | $179,999.82 | $179,999.82 | $539,999.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $20.51 / $22.79
| Professional | | $15.50 | $20.51 | $22.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $16.00
| Facility | | $16.00 | $16.00 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $9.23 / $9.50
| Professional | | $7.61 | $9.23 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.40 / $9.59 / $12.77
| Professional | | $6.40 | $9.59 | $12.77 |