- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.46 / $146.29 / $374.40
| Facility | | $32.46 | $146.29 | $374.40 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.99 / $10.39 / $13.49
| Facility | 26 | $7.99 | $10.39 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.02 / $36.03 / $2,633.04
| Facility | TC | $24.02 | $36.03 | $2,633.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.51 / $33.47 / $55.60
| Professional | | $24.51 | $33.47 | $55.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.84 / $9.97 / $16.00
| Professional | 26 | $6.84 | $9.97 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.82 / $24.12 / $42.04
| Professional | TC | $18.82 | $24.12 | $42.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $29.51
| Professional | | $29.51 | $29.51 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $7.64 / $14.26
| Professional | 26 | $7.08 | $7.64 | $14.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.10 / $94.61 / $182.65
| Facility | | $48.10 | $94.61 | $182.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.44 / $40.57 / $50.11
| Professional | | $36.44 | $40.57 | $50.11 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.10 / $11.63 / $15.57
| Professional | 26 | $9.10 | $11.63 | $15.57 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.61 / $30.36 / $36.76
| Professional | TC | $26.61 | $30.36 | $36.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.86 / $29.62 / $87.39
| Facility | | $27.86 | $29.62 | $87.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.84 / $20.84 / $22.92
| Facility | TC | $20.84 | $20.84 | $22.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.03 / $7.90 / $22.14
| Professional | 26 | $7.03 | $7.90 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.61 / $64.34 / $91.62
| Facility | | $23.61 | $64.34 | $91.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $30.37 / $54.90
| Professional | | $18.64 | $30.37 | $54.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.79 / $8.96 / $14.78
| Professional | 26 | $4.79 | $8.96 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $13.86 / $23.44 / $40.47
| Professional | TC | $13.86 | $23.44 | $40.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.10 / $32.79 / $53.34
| Professional | | $23.10 | $32.79 | $53.34 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.70 / $8.92 / $14.57
| Professional | 26 | $6.70 | $8.92 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.34 / $23.10 / $35.24
| Professional | TC | $16.34 | $23.10 | $35.24 |