- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $169.82 / $512.86
| Facility | | $61.66 | $169.82 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.47 / $14.79 / $19.95
| Facility | 26 | $10.47 | $14.79 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $75.86 / $407.38
| Facility | TC | $28.18 | $75.86 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $52.48 / $147.91
| Professional | | $33.88 | $52.48 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $15.14 / $40.74
| Professional | 26 | $8.91 | $15.14 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $50.12 / $177.83 / $204.17
| Professional | 50 | $50.12 | $177.83 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $17.78 / $72.44 / $72.44
| Professional | 52 | $17.78 | $72.44 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.99 / $32.36 / $77.62
| Professional | TC | $23.99 | $32.36 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $38.02 / $74.13
| Professional | | $28.18 | $38.02 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $10.72 / $19.05
| Professional | 26 | $8.51 | $10.72 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.44 / $38.90 / $54.95
| Professional | TC | $23.44 | $38.90 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $288.40 / $302.00
| Facility | | $257.04 | $288.40 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $47.86 / $77.62
| Professional | | $37.15 | $47.86 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.48 / $14.45 / $23.44
| Professional | 26 | $11.48 | $14.45 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $56.23 / $70.79 / $117.49
| Professional | 50 | $56.23 | $70.79 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.30 / $33.11 / $54.95
| Professional | TC | $26.30 | $33.11 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Professional | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $13.49 / $13.49 / $13.49
| Professional | 26 | $13.49 | $13.49 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $37.15 / $37.15 / $37.15
| Professional | TC | $37.15 | $37.15 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $36.31 / $61.66
| Facility | | $12.02 | $36.31 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $33.88 / $58.88
| Professional | | $11.22 | $33.88 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $34.67 / $323.59
| Facility | | $29.51 | $34.67 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.63 / $12.30 / $17.38
| Facility | 26 | $2.63 | $12.30 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $7.08 / $33.11 / $47.86
| Facility | TC | $7.08 | $33.11 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $51.29 / $85.11
| Professional | | $33.88 | $51.29 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $14.45 / $25.12
| Professional | 26 | $9.55 | $14.45 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.55 / $36.31 / $64.57
| Professional | TC | $24.55 | $36.31 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $251.19 / $416.87
| Facility | | $125.89 | $251.19 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.63 / $12.30 / $17.38
| Facility | 26 | $2.63 | $12.30 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.92 / $36.31 / $302.00
| Facility | TC | $6.92 | $36.31 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $48.98 / $85.11
| Professional | | $31.62 | $48.98 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $14.13 / $26.30
| Professional | 26 | $9.33 | $14.13 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.44 / $34.67 / $63.10
| Professional | TC | $23.44 | $34.67 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $32.36 / $33.11
| Professional | | $20.89 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $128.82 / $128.82
| Facility | | $128.82 | $128.82 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $128.82 / $128.82 / $128.82
| Facility | 26 | $128.82 | $128.82 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $128.82 / $128.82 / $128.82
| Facility | TC | $128.82 | $128.82 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $51.29 / $91.20
| Professional | | $40.74 | $51.29 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.96 / $14.13 / $23.99
| Professional | 26 | $10.96 | $14.13 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.51 / $37.15 / $66.07
| Professional | TC | $29.51 | $37.15 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $81.28 / $251.19
| Facility | | $12.30 | $81.28 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $41.69 / $72.44
| Professional | | $31.62 | $41.69 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $12.59 / $21.38
| Professional | 26 | $9.33 | $12.59 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $28.84 / $52.48
| Professional | TC | $22.39 | $28.84 | $52.48 |