- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $245.47 / $645.65
| Facility | | $42.66 | $245.47 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $7.94 / $14.13
| Facility | 26 | $6.92 | $7.94 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $25.12 / $74.13 / $398.11
| Facility | TC | $25.12 | $74.13 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $43.65 / $114.82
| Professional | | $30.90 | $43.65 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $12.02 / $33.11
| Professional | 26 | $7.94 | $12.02 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.02 / $70.79 / $194.98
| Professional | 50 | $38.02 | $70.79 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $17.78 / $147.91 / $162.18
| Professional | 52 | $17.78 | $147.91 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $29.51 / $60.26
| Professional | TC | $21.88 | $29.51 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $37.15 / $63.10
| Professional | | $26.92 | $37.15 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $10.23 / $17.78
| Professional | 26 | $7.94 | $10.23 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $15.14 / $15.14 / $15.14
| Professional | 52 | $15.14 | $15.14 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $31.62 / $41.69
| Professional | TC | $22.39 | $31.62 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $295.12 / $489.78
| Facility | | $120.23 | $295.12 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $32.36 / $42.66
| Professional | | $8.32 | $32.36 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $190.55 / $426.58
| Facility | | $45.71 | $190.55 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $47.86 / $67.61
| Professional | | $38.02 | $47.86 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $112.20 / $112.20
| Facility | | $38.02 | $112.20 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $28.18 / $30.20
| Facility | TC | $28.18 | $28.18 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.00 / $24.55 / $24.55
| Professional | 26 | $10.00 | $24.55 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $144.54 / $398.11
| Facility | | $44.67 | $144.54 | $398.11 |
- 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
- $30.90 / $43.65 / $83.18
| Professional | | $30.90 | $43.65 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $12.88 / $25.12
| Professional | 26 | $8.91 | $12.88 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $31.62 / $61.66
| Professional | TC | $22.39 | $31.62 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $363.08 / $363.08
| Facility | | $263.03 | $363.08 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $70.79 / $70.79 / $85.11
| Facility | 26 | $70.79 | $70.79 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $194.98 / $194.98 / $194.98
| Facility | TC | $194.98 | $194.98 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.03 / $346.74 / $346.74
| Professional | | $263.03 | $346.74 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $67.61 / $87.10 / $87.10
| Professional | 26 | $67.61 | $87.10 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $194.98 / $263.03 / $263.03
| Professional | TC | $194.98 | $263.03 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $52.48 / $331.13
| Facility | | $33.11 | $52.48 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $8.71 / $14.45
| Facility | 26 | $6.61 | $8.71 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $22.91 / $74.13 / $446.68
| Facility | TC | $22.91 | $74.13 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $47.86 / $107.15
| Professional | | $30.90 | $47.86 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $12.88 / $29.51
| Professional | 26 | $7.94 | $12.88 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.02 / $38.02 / $194.98
| Professional | 50 | $38.02 | $38.02 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Professional | 52 | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $32.36 / $67.61
| Professional | TC | $21.88 | $32.36 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $32.36 / $33.11
| Professional | | $24.55 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $380.19 / $398.11
| Facility | | $81.28 | $380.19 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $38.02 / $77.62
| Professional | | $10.96 | $38.02 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $48.98 / $109.65
| Facility | | $33.11 | $48.98 | $109.65 |
- 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
- $30.90 / $43.65 / $91.20
| Professional | | $30.90 | $43.65 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $12.02 / $20.89
| Professional | 26 | $8.91 | $12.02 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $30.20 / $52.48
| Professional | TC | $21.88 | $30.20 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $165.96 / $218.78
| Facility | | $85.11 | $165.96 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $39.81 / $64.57
| Professional | | $33.11 | $39.81 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $11.22 / $19.05
| Professional | 26 | $9.55 | $11.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.91 / $28.84 / $45.71
| Professional | TC | $22.91 | $28.84 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $41.69 / $50.12
| Professional | | $39.81 | $41.69 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.47 / $10.96 / $12.88
| Professional | 26 | $10.47 | $10.96 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.51 / $30.90 / $37.15
| Professional | TC | $29.51 | $30.90 | $37.15 |