- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.25 / $148.06 / $546.88
| Facility | | $41.25 | $148.06 | $546.88 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.63 / $9.48 / $19.21
| Facility | 26 | $6.63 | $9.48 | $19.21 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $32.52 / $130.65 / $354.84
| Facility | TC | $32.52 | $130.65 | $354.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.80 / $42.81 / $134.29
| Professional | | $14.80 | $42.81 | $134.29 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.67 / $11.11 / $34.88
| Professional | 26 | $6.67 | $11.11 | $34.88 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.38 / $79.53 / $163.71
| Professional | 50 | $18.38 | $79.53 | $163.71 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.78 / $31.15 / $69.65
| Professional | TC | $20.78 | $31.15 | $69.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.86 / $31.94 / $41.12
| Professional | | $26.86 | $31.94 | $41.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.16 / $7.92 / $13.81
| Professional | 26 | $6.16 | $7.92 | $13.81 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $42.57 / $42.57 / $42.57
| Professional | 50 | $42.57 | $42.57 | $42.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.94 / $39.88 / $99.24
| Professional | | $30.94 | $39.88 | $99.24 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.14 / $7.76 / $19.17
| Professional | 26 | $6.14 | $7.76 | $19.17 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $45.76 / $59.25 / $137.79
| Professional | 50 | $45.76 | $59.25 | $137.79 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.57 / $31.15 / $71.44
| Professional | TC | $24.57 | $31.15 | $71.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $44.30
| Facility | | $12.22 | $12.22 | $44.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $44.30 / $56.52
| Professional | | $12.22 | $44.30 | $56.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.09 / $105.53 / $222.32
| Facility | | $66.09 | $105.53 | $222.32 |
- 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
- $36.90 / $36.90 / $36.90
| Facility | TC | $36.90 | $36.90 | $36.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.80 / $52.30 / $135.81
| Professional | | $30.80 | $52.30 | $135.81 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.16 / $11.71 / $25.59
| Professional | 26 | $6.16 | $11.71 | $25.59 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $47.36 / $47.36 / $53.88
| Professional | 50 | $47.36 | $47.36 | $53.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.42 / $41.55 / $116.76
| Professional | TC | $23.42 | $41.55 | $116.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.00 / $50.26 / $332.00
| Facility | | $28.00 | $50.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.64 / $48.86 / $84.04
| Professional | | $35.64 | $48.86 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.88 / $10.94 / $19.12
| Professional | 26 | $7.88 | $10.94 | $19.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.70 / $43.96 / $70.75
| Professional | TC | $33.70 | $43.96 | $70.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $12.63 / $12.63
| Facility | | $12.63 | $12.63 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $7.58 / $7.58 / $7.58
| Facility | TC | $7.58 | $7.58 | $7.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.78 / $48.37 / $86.69
| Professional | | $24.78 | $48.37 | $86.69 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.82 / $11.04 / $17.89
| Professional | 26 | $4.82 | $11.04 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.97 / $38.39 / $68.80
| Professional | TC | $19.97 | $38.39 | $68.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.88 / $44.20 / $77.25
| Professional | | $41.88 | $44.20 | $77.25 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.11 / $8.14 / $10.84
| Professional | 26 | $8.11 | $8.14 | $10.84 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $86.14 / $86.14 / $86.14
| Professional | 50 | $86.14 | $86.14 | $86.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.85 / $100.62 / $314.05
| Facility | | $35.85 | $100.62 | $314.05 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.17 / $79.09 / $338.67
| Facility | TC | $29.17 | $79.09 | $338.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.01 / $53.48 / $67.91
| Professional | | $39.01 | $53.48 | $67.91 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.92 / $11.76 / $20.38
| Professional | 26 | $8.92 | $11.76 | $20.38 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $75.59 / $106.96 / $131.84
| Professional | 50 | $75.59 | $106.96 | $131.84 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.17 / $29.17 / $52.77
| Professional | TC | $29.17 | $29.17 | $52.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.00 / $105.70 / $258.18
| Facility | | $49.00 | $105.70 | $258.18 |
- 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
- $36.90 / $36.90 / $36.90
| Facility | TC | $36.90 | $36.90 | $36.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.83 / $53.07 / $124.84
| Professional | | $30.83 | $53.07 | $124.84 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.62 / $11.46 / $25.13
| Professional | 26 | $6.62 | $11.46 | $25.13 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $47.36 / $47.36 / $53.88
| Professional | 50 | $47.36 | $47.36 | $53.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.17 / $39.10 / $103.25
| Professional | TC | $24.17 | $39.10 | $103.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.03 / $40.03 / $82.59
| Professional | | $30.03 | $40.03 | $82.59 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.64 / $9.02 / $19.32
| Professional | 26 | $6.64 | $9.02 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.79 / $31.84 / $72.98
| Professional | TC | $24.79 | $31.84 | $72.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.57 / $47.57 / $90.24
| Facility | | $47.57 | $47.57 | $90.24 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.82 / $9.82 / $27.97
| Facility | 26 | $9.82 | $9.82 | $27.97 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $37.75 / $37.75 / $68.87
| Facility | TC | $37.75 | $37.75 | $68.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.78 / $60.69 / $104.48
| Professional | | $24.78 | $60.69 | $104.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.82 / $12.52 / $22.48
| Professional | 26 | $4.82 | $12.52 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.97 / $48.16 / $82.92
| Professional | TC | $19.97 | $48.16 | $82.92 |