- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.70 / $280.00 / $683.97
| Facility | | $51.70 | $280.00 | $683.97 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.83 / $7.58 / $12.00
| Facility | 26 | $5.83 | $7.58 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $25.04 / $242.44 / $539.27
| Facility | TC | $25.04 | $242.44 | $539.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.80 / $38.32 / $109.78
| Professional | | $21.80 | $38.32 | $109.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.44 / $9.50 / $40.99
| Professional | 26 | $6.44 | $9.50 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $19.27 / $61.66 / $106.86
| Professional | 50 | $19.27 | $61.66 | $106.86 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.63 / $22.68 / $60.50
| Professional | TC | $16.63 | $22.68 | $60.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.47 / $28.96 / $47.10
| Professional | | $22.47 | $28.96 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.71 / $10.58 / $16.71
| Professional | 26 | $6.71 | $10.58 | $16.71 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.52 / $40.90 / $58.74
| Professional | 50 | $38.52 | $40.90 | $58.74 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.47 / $18.82 / $29.13
| Professional | TC | $16.47 | $18.82 | $29.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.62 / $193.14 / $340.79
| Facility | | $76.62 | $193.14 | $340.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $24.61 / $35.94
| Professional | | $7.41 | $24.61 | $35.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.00 / $162.88 / $530.55
| Facility | | $46.00 | $162.88 | $530.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.23 / $39.00 / $57.14
| Professional | | $30.23 | $39.00 | $57.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.02 / $34.36 / $78.15
| Facility | | $32.02 | $34.36 | $78.15 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $22.46 / $23.53 / $25.47
| Facility | TC | $22.46 | $23.53 | $25.47 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.49 / $9.15 / $19.00
| Professional | 26 | $8.49 | $9.15 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.65 / $100.86 / $281.97
| Facility | | $41.65 | $100.86 | $281.97 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.36 / $10.36 / $10.36
| Facility | 26 | $10.36 | $10.36 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.08 / $29.08 / $29.08
| Facility | TC | $29.08 | $29.08 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.88 / $34.72 / $63.76
| Professional | | $24.88 | $34.72 | $63.76 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.45 / $10.40 / $18.87
| Professional | 26 | $7.45 | $10.40 | $18.87 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $39.20 / $39.20 / $47.44
| Professional | 50 | $39.20 | $39.20 | $47.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.29 / $24.92 / $45.05
| Professional | TC | $17.29 | $24.92 | $45.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.28 / $359.91 / $359.91
| Facility | | $69.28 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $27.00 / $100.00 / $100.00
| Facility | 26 | $27.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $54.35 / $140.51 / $140.51
| Facility | TC | $54.35 | $140.51 | $140.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $159.00 / $221.82 / $292.13
| Professional | | $159.00 | $221.82 | $292.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $89.16 / $89.16 / $89.16
| Professional | 26 | $89.16 | $89.16 | $89.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $177.00 / $177.00 / $219.00
| Professional | TC | $177.00 | $177.00 | $219.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.59 / $38.75 / $233.10
| Facility | | $27.59 | $38.75 | $233.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.98 / $44.73 / $78.65
| Professional | | $12.98 | $44.73 | $78.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.35 / $14.40 / $34.92
| Professional | 26 | $11.35 | $14.40 | $34.92 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $22.71 / $22.71 / $40.86
| Professional | 50 | $22.71 | $22.71 | $40.86 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $32.38 / $41.10 / $99.64
| Professional | TC | $32.38 | $41.10 | $99.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.00 / $675.01 / $2,207.00
| Facility | | $458.00 | $675.01 | $2,207.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $30.97 / $58.52
| Professional | | $9.86 | $30.97 | $58.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.59 / $38.38 / $86.19
| Facility | | $27.59 | $38.38 | $86.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.36 / $10.36 / $10.36
| Facility | 26 | $10.36 | $10.36 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.08 / $29.08 / $29.08
| Facility | TC | $29.08 | $29.08 | $29.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.03 / $39.20 / $85.32
| Professional | | $25.03 | $39.20 | $85.32 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.58 / $10.19 / $18.39
| Professional | 26 | $7.58 | $10.19 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.05 / $23.98 / $44.21
| Professional | TC | $17.05 | $23.98 | $44.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.10 / $31.88 / $52.72
| Professional | | $26.10 | $31.88 | $52.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.82 / $9.38 / $15.95
| Professional | 26 | $7.82 | $9.38 | $15.95 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.17 / $22.63 / $37.13
| Professional | TC | $18.17 | $22.63 | $37.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.71 / $32.10 / $45.66
| Professional | | $28.71 | $32.10 | $45.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.45 / $8.57 / $11.85
| Professional | 26 | $7.45 | $8.57 | $11.85 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.26 / $23.53 / $33.79
| Professional | TC | $21.26 | $23.53 | $33.79 |