- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.02 / $278.75 / $593.27
| Facility | | $28.02 | $278.75 | $593.27 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.39 / $7.00 / $11.75
| Facility | 26 | $5.39 | $7.00 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $15.60 / $44.44 / $441.29
| Facility | TC | $15.60 | $44.44 | $441.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.21 / $28.05 / $49.37
| Professional | | $19.21 | $28.05 | $49.37 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.87 / $8.55 / $22.96
| Professional | 26 | $5.87 | $8.55 | $22.96 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $12.91 / $17.93 / $34.51
| Professional | TC | $12.91 | $17.93 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.18 / $22.06 / $46.33
| Professional | | $18.18 | $22.06 | $46.33 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.35 / $8.11 / $15.48
| Professional | 26 | $6.35 | $8.11 | $15.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.42 / $14.42 / $14.42
| Professional | TC | $14.42 | $14.42 | $14.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.08 / $279.08 / $478.58
| Facility | | $112.08 | $279.08 | $478.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $20.72 / $29.89
| Professional | | $6.87 | $20.72 | $29.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.87 / $192.27 / $438.44
| Facility | | $29.87 | $192.27 | $438.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.97 / $35.49 / $49.14
| Professional | | $25.97 | $35.49 | $49.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.89 / $27.48 / $81.44
| Facility | | $25.89 | $27.48 | $81.44 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $18.03 / $18.26 / $19.27
| Facility | TC | $18.03 | $18.26 | $19.27 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.86 / $8.47 / $14.02
| Professional | 26 | $7.86 | $8.47 | $14.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $91.81 / $374.98
| Facility | | $37.15 | $91.81 | $374.98 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $22.00 / $22.00 / $22.00
| Facility | TC | $22.00 | $22.00 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.60 / $30.49 / $55.47
| Professional | | $21.60 | $30.49 | $55.47 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.95 / $9.68 / $17.45
| Professional | 26 | $6.95 | $9.68 | $17.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.17 / $21.20 / $38.15
| Professional | TC | $14.17 | $21.20 | $38.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.63 / $359.91 / $359.91
| Facility | | $73.63 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $24.54 / $100.00 / $100.00
| Facility | 26 | $24.54 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $49.08 / $107.45 / $107.45
| Facility | TC | $49.08 | $107.45 | $107.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.47 / $178.47 / $235.80
| Professional | | $178.47 | $178.47 | $235.80 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $77.59 / $77.59 / $77.59
| Professional | 26 | $77.59 | $77.59 | $77.59 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $163.00 / $163.00 / $168.08
| Professional | TC | $163.00 | $163.00 | $168.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.25 / $32.65 / $68.13
| Facility | | $22.25 | $32.65 | $68.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $35.32 / $71.50
| Professional | | $11.68 | $35.32 | $71.50 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.52 / $13.35 / $32.36
| Professional | 26 | $10.52 | $13.35 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.80 / $31.48 / $76.31
| Professional | TC | $24.80 | $31.48 | $76.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $23.91 / $47.77
| Professional | | $9.35 | $23.91 | $47.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.56 / $33.28 / $79.20
| Facility | | $22.56 | $33.28 | $79.20 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $22.00 / $22.00 / $22.00
| Facility | TC | $22.00 | $22.00 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.28 / $33.43 / $73.51
| Professional | | $22.28 | $33.43 | $73.51 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.02 / $9.49 / $17.05
| Professional | 26 | $7.02 | $9.49 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.17 / $20.59 / $36.65
| Professional | TC | $14.17 | $20.59 | $36.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.30 / $28.87 / $49.08
| Professional | | $24.30 | $28.87 | $49.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.26 / $8.73 / $14.66
| Professional | 26 | $7.26 | $8.73 | $14.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.87 / $19.85 / $34.38
| Professional | TC | $16.87 | $19.85 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.19 / $25.97 / $36.86
| Professional | | $23.19 | $25.97 | $36.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.90 / $7.94 / $10.96
| Professional | 26 | $6.90 | $7.94 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.28 / $18.03 / $25.89
| Professional | TC | $16.28 | $18.03 | $25.89 |