- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.45 / $287.68 / $388.87
| Facility | | $47.45 | $287.68 | $388.87 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.56 / $12.22 / $27.05
| Facility | 26 | $8.56 | $12.22 | $27.05 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $27.66 / $141.66 / $333.00
| Facility | TC | $27.66 | $141.66 | $333.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.50 / $37.21 / $169.00
| Professional | | $29.50 | $37.21 | $169.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.79 / $11.89 / $36.88
| Professional | 26 | $7.79 | $11.89 | $36.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.00 / $25.92 / $48.20
| Professional | TC | $21.00 | $25.92 | $48.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.46 / $26.82 / $61.67
| Professional | | $21.46 | $26.82 | $61.67 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $9.36 / $13.38
| Professional | 26 | $6.61 | $9.36 | $13.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $103.40 / $138.08 / $184.07
| Facility | TC | $103.40 | $138.08 | $184.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.78 / $54.41 / $63.88
| Professional | | $34.78 | $54.41 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $14.84 / $40.34
| Professional | 26 | $8.71 | $14.84 | $40.34 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.07 / $37.47 / $52.76
| Professional | TC | $26.07 | $37.47 | $52.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.54 / $75.14 / $261.12
| Facility | | $34.54 | $75.14 | $261.12 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.01 / $10.01 / $10.01
| Facility | 26 | $10.01 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.58 / $30.58 / $30.58
| Facility | TC | $30.58 | $30.58 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.14 / $43.97 / $66.02
| Professional | | $28.14 | $43.97 | $66.02 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.02 / $13.47 / $22.11
| Professional | 26 | $7.02 | $13.47 | $22.11 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.70 / $30.63 / $49.56
| Professional | TC | $19.70 | $30.63 | $49.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.79 / $46.67 / $58.87
| Professional | | $40.79 | $46.67 | $58.87 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.56 / $11.48 / $18.05
| Professional | 26 | $9.56 | $11.48 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $31.23 / $38.79 / $55.22
| Professional | TC | $31.23 | $38.79 | $55.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.93 / $193.00 / $341.34
| Facility | | $114.93 | $193.00 | $341.34 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $165.64 / $221.41 / $647.63
| Facility | TC | $165.64 | $221.41 | $647.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.65 / $41.24 / $43.63
| Professional | | $39.65 | $41.24 | $43.63 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $13.68 / $26.45
| Professional | 26 | $9.55 | $13.68 | $26.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $46.98 / $46.98 / $46.98
| Professional | TC | $46.98 | $46.98 | $46.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.54 / $231.81 / $408.00
| Facility | | $49.54 | $231.81 | $408.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.56 / $13.01 / $28.68
| Facility | 26 | $8.56 | $13.01 | $28.68 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.43 / $109.26 / $429.60
| Facility | TC | $30.43 | $109.26 | $429.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.98 / $40.93 / $107.57
| Professional | | $30.98 | $40.93 | $107.57 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.07 / $12.97 / $32.03
| Professional | 26 | $8.07 | $12.97 | $32.03 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.67 / $28.49 / $62.22
| Professional | TC | $22.67 | $28.49 | $62.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.01 / $45.20 / $86.87
| Professional | | $21.01 | $45.20 | $86.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.59 / $72.95 / $342.91
| Facility | | $32.59 | $72.95 | $342.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.88 / $10.01 / $10.01
| Facility | 26 | $7.88 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $16.73 / $30.58 / $30.58
| Facility | TC | $16.73 | $30.58 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.70 / $43.97 / $65.98
| Professional | | $28.70 | $43.97 | $65.98 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.19 / $13.45 / $21.99
| Professional | 26 | $7.19 | $13.45 | $21.99 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.69 / $30.63 / $49.99
| Professional | TC | $20.69 | $30.63 | $49.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.54 / $34.54 / $37.00
| Facility | | $34.54 | $34.54 | $37.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.61 / $8.61 / $13.00
| Facility | 26 | $8.61 | $8.61 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.00 / $25.92 / $25.92
| Facility | TC | $24.00 | $25.92 | $25.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.02 / $34.54 / $37.49
| Professional | | $34.02 | $34.54 | $37.49 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.40 / $8.61 / $13.00
| Professional | 26 | $8.40 | $8.61 | $13.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.00 / $25.92 / $28.54
| Professional | TC | $24.00 | $25.92 | $28.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.69 / $277.88 / $361.36
| Facility | | $146.69 | $277.88 | $361.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.82 / $38.72 / $64.72
| Professional | | $30.82 | $38.72 | $64.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $11.52 / $20.18
| Professional | 26 | $9.19 | $11.52 | $20.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.13 / $26.90 / $45.12
| Professional | TC | $21.13 | $26.90 | $45.12 |