- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.48 / $336.05 / $703.44
| Facility | | $58.48 | $336.05 | $703.44 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.39 / $7.01 / $286.33
| Facility | 26 | $5.39 | $7.01 | $286.33 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.77 / $253.36 / $550.10
| Facility | TC | $23.77 | $253.36 | $550.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.43 / $38.57 / $117.62
| Professional | | $21.43 | $38.57 | $117.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.13 / $8.73 / $37.00
| Professional | 26 | $6.13 | $8.73 | $37.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $55.20 / $90.30 / $114.57
| Professional | 50 | $55.20 | $90.30 | $114.57 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.39 / $25.76 / $88.22
| Professional | TC | $18.39 | $25.76 | $88.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.66 / $31.92 / $56.97
| Professional | | $25.66 | $31.92 | $56.97 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.29 / $9.78 / $16.28
| Professional | 26 | $6.29 | $9.78 | $16.28 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.44 / $41.44 / $46.74
| Professional | 50 | $41.44 | $41.44 | $46.74 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.61 / $21.27 / $36.15
| Professional | TC | $18.61 | $21.27 | $36.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.63 / $193.14 / $340.79
| Facility | | $72.63 | $193.14 | $340.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $25.97 / $37.69
| Professional | | $6.87 | $25.97 | $37.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.71 / $148.82 / $432.64
| Facility | | $39.71 | $148.82 | $432.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.20 / $43.69 / $69.06
| Professional | | $34.20 | $43.69 | $69.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.45 / $36.89 / $78.15
| Facility | | $34.45 | $36.89 | $78.15 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.86 / $26.59 / $28.36
| Facility | TC | $24.86 | $26.59 | $28.36 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.86 / $8.56 / $21.44
| Professional | 26 | $7.86 | $8.56 | $21.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.14 / $112.69 / $281.97
| Facility | | $47.14 | $112.69 | $281.97 |
- 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
- $32.44 / $32.44 / $32.44
| Facility | TC | $32.44 | $32.44 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.10 / $35.71 / $66.59
| Professional | | $26.10 | $35.71 | $66.59 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.75 / $9.55 / $17.45
| Professional | 26 | $6.75 | $9.55 | $17.45 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $43.28 / $52.31
| Professional | 50 | $43.28 | $43.28 | $52.31 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.27 / $26.59 / $49.82
| Professional | TC | $19.27 | $26.59 | $49.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.06 / $359.91 / $359.91
| Facility | | $74.06 | $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
- $61.48 / $158.84 / $158.84
| Facility | TC | $61.48 | $158.84 | $158.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.86 / $234.86 / $315.00
| Professional | | $234.86 | $234.86 | $315.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $67.70 / $67.70 / $67.73
| Professional | 26 | $67.70 | $67.70 | $67.73 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $181.68 / $181.68 / $247.28
| Professional | TC | $181.68 | $181.68 | $247.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.02 / $39.20 / $177.55
| Facility | | $29.02 | $39.20 | $177.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $47.10 / $79.00
| Professional | | $11.35 | $47.10 | $79.00 |
- 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
- 50
- Low / Median / High Price
- $14.88 / $37.79 / $81.00
| Professional | 50 | $14.88 | $37.79 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.01 / $46.43 / $112.56
| Professional | TC | $33.01 | $46.43 | $112.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $32.15 / $65.59
| Professional | | $8.93 | $32.15 | $65.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.19 / $38.64 / $84.85
| Facility | | $29.19 | $38.64 | $84.85 |
- 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
- $32.44 / $32.44 / $32.44
| Facility | TC | $32.44 | $32.44 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.70 / $41.07 / $90.19
| Professional | | $26.70 | $41.07 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.98 / $9.25 / $16.57
| Professional | 26 | $6.98 | $9.25 | $16.57 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $26.45 / $49.59
| Professional | TC | $19.05 | $26.45 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.00 / $123.78 / $185.87
| Facility | | $56.00 | $123.78 | $185.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.71 / $33.60 / $59.78
| Professional | | $27.71 | $33.60 | $59.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.22 / $8.57 / $14.43
| Professional | 26 | $7.22 | $8.57 | $14.43 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.27 / $25.03 / $41.39
| Professional | TC | $20.27 | $25.03 | $41.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.92 / $34.53 / $49.17
| Professional | | $30.92 | $34.53 | $49.17 |
- 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
- $24.02 / $26.59 / $38.21
| Professional | TC | $24.02 | $26.59 | $38.21 |