- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $295.12 / $537.03
| Facility | | $147.91 | $295.12 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $15.14 / $22.39
| Facility | 26 | $9.33 | $15.14 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $35.48 / $295.12 / $416.87
| Facility | TC | $35.48 | $295.12 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $107.15
| Professional | | $19.95 | $30.90 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $9.55 / $52.48
| Professional | 26 | $7.94 | $9.55 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $10.00 / $18.20 / $45.71
| Professional | TC | $10.00 | $18.20 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $131.83
| Professional | | $24.55 | $38.02 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $13.18 / $45.71
| Professional | 26 | $8.51 | $13.18 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.79 / $20.89 / $83.18
| Professional | TC | $14.79 | $20.89 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $25.12 / $41.69
| Facility | | $12.30 | $25.12 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $20.89 / $33.11
| Professional | | $11.22 | $20.89 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $79.43 / $128.82
| Facility | | $69.18 | $79.43 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $21.88 / $25.12 / $40.74
| Facility | 26 | $21.88 | $25.12 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $46.77 / $54.95 / $87.10
| Facility | TC | $46.77 | $54.95 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $54.95 / $104.71
| Professional | | $22.39 | $54.95 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $18.62 / $33.88
| Professional | 26 | $9.33 | $18.62 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $12.88 / $37.15 / $69.18
| Professional | TC | $12.88 | $37.15 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $46.77 / $309.03
| Facility | | $22.39 | $46.77 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $234.42 / $288.40 / $380.19
| Facility | TC | $234.42 | $288.40 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $56.23 / $72.44
| Professional | | $47.86 | $56.23 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.22 / $19.05 / $24.55
| Professional | 26 | $16.22 | $19.05 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.20 / $37.15 / $47.86
| Professional | TC | $30.20 | $37.15 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $141.25 / $295.12
| Facility | | $28.84 | $141.25 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $63.10 / $70.79 / $102.33
| Facility | 26 | $63.10 | $70.79 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $107.15 / $239.88 / $346.74
| Facility | TC | $107.15 | $239.88 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $38.90 / $165.96
| Professional | | $21.88 | $38.90 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.23 / $26.92 / $72.44
| Professional | 26 | $10.23 | $26.92 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $12.59 / $23.44 / $109.65
| Professional | TC | $12.59 | $23.44 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $60.26 / $85.11
| Professional | | $33.11 | $60.26 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $363.08 / $363.08
| Facility | | $63.10 | $363.08 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $20.42 / $70.79 / $70.79
| Facility | 26 | $20.42 | $70.79 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $39.81 / $109.65 / $109.65
| Facility | TC | $39.81 | $109.65 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $123.03 / $165.96
| Professional | | $23.99 | $123.03 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.72 / $44.67 / $54.95
| Professional | 26 | $10.72 | $44.67 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.85 / $77.62 / $109.65
| Professional | TC | $15.85 | $77.62 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $66.07 / $158.49
| Professional | | $38.02 | $66.07 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.98 / $19.95 / $25.12
| Professional | 26 | $16.98 | $19.95 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $22.39 / $61.66
| Professional | TC | $19.05 | $22.39 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $229.09 / $302.00
| Facility | | $229.09 | $229.09 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $35.48 / $89.13
| Professional | | $22.91 | $35.48 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $13.80 / $30.90
| Professional | 26 | $9.33 | $13.80 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $12.88 / $20.89 / $51.29
| Professional | TC | $12.88 | $20.89 | $51.29 |