- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.22 / $177.33 / $365.47
| Facility | | $40.22 | $177.33 | $365.47 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.23 / $10.19 / $18.12
| Facility | 26 | $8.23 | $10.19 | $18.12 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $38.68 / $163.84 / $327.68
| Facility | TC | $38.68 | $163.84 | $327.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $35.54 / $133.37
| Professional | | $9.97 | $35.54 | $133.37 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.62 / $10.01 / $45.39
| Professional | 26 | $7.62 | $10.01 | $45.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.96 / $25.14 / $60.43
| Professional | TC | $20.96 | $25.14 | $60.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.92 / $28.02 / $65.02
| Professional | | $23.92 | $28.02 | $65.02 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $9.68 / $15.36
| Professional | 26 | $6.61 | $9.68 | $15.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.09 / $22.09 / $22.09
| Professional | TC | $22.09 | $22.09 | $22.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.78 / $91.91 / $1,175.90
| Facility | | $42.78 | $91.91 | $1,175.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.10 / $10.11 / $107.44
| Professional | 26 | $9.10 | $10.11 | $107.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.31 / $8,639.91 / $79,506.39
| Facility | | $21.31 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $99.08 / $132.31 / $176.37
| Facility | TC | $99.08 | $132.31 | $176.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.46 / $50.53 / $58.68
| Professional | | $34.46 | $50.53 | $58.68 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $14.12 / $17.64
| Professional | 26 | $8.71 | $14.12 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $68.92 / $101.08 / $117.37
| Professional | 50 | $68.92 | $101.08 | $117.37 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.75 / $36.06 / $41.94
| Professional | TC | $25.75 | $36.06 | $41.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.11 / $73.29 / $260.37
| Facility | | $34.11 | $73.29 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.01 / $10.01 / $10.01
| Facility | 26 | $10.01 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Facility | TC | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.03 / $40.36 / $64.81
| Professional | | $26.03 | $40.36 | $64.81 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.53 / $11.33 / $17.50
| Professional | 26 | $6.53 | $11.33 | $17.50 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $49.18 / $49.18
| Professional | 50 | $43.28 | $49.18 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.62 / $28.45 / $48.26
| Professional | TC | $19.62 | $28.45 | $48.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.58 / $46.24 / $55.80
| Professional | | $35.58 | $46.24 | $55.80 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.56 / $11.48 / $18.05
| Professional | 26 | $9.56 | $11.48 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.85 / $38.33 / $54.54
| Professional | TC | $30.85 | $38.33 | $54.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.40 / $181.54 / $378.58
| Facility | | $47.40 | $181.54 | $378.58 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $125.66 / $290.88 / $404.92
| Facility | TC | $125.66 | $290.88 | $404.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.29 / $43.22 / $50.69
| Professional | | $39.29 | $43.22 | $50.69 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $11.79 / $16.19
| Professional | 26 | $9.55 | $11.79 | $16.19 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $21.01 / $86.46 / $90.78
| Professional | 50 | $21.01 | $86.46 | $90.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.23 / $32.72 / $38.67
| Professional | TC | $23.23 | $32.72 | $38.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.22 / $90.88 / $201.70
| Facility | | $65.22 | $90.88 | $201.70 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.10 / $10.11 / $20.62
| Professional | 26 | $9.10 | $10.11 | $20.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.47 / $182.49 / $393.80
| Facility | | $44.47 | $182.49 | $393.80 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.84 / $10.82 / $25.42
| Facility | 26 | $7.84 | $10.82 | $25.42 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.21 / $159.11 / $364.98
| Facility | TC | $28.21 | $159.11 | $364.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.92 / $37.02 / $118.00
| Professional | | $10.92 | $37.02 | $118.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.84 / $11.38 / $38.00
| Professional | 26 | $7.84 | $11.38 | $38.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.55 / $29.34 / $60.43
| Professional | TC | $21.55 | $29.34 | $60.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.37 / $209.47 / $266.89
| Facility | | $171.37 | $209.47 | $266.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $36.00 / $72.72
| Professional | | $9.61 | $36.00 | $72.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.11 / $71.16 / $260.37
| Facility | | $34.11 | $71.16 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.01 / $10.01 / $10.01
| Facility | 26 | $10.01 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Facility | TC | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.75 / $40.25 / $64.81
| Professional | | $25.75 | $40.25 | $64.81 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.58 / $11.34 / $17.50
| Professional | 26 | $6.58 | $11.34 | $17.50 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $49.18 / $52.35
| Professional | 50 | $43.28 | $49.18 | $52.35 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.43 / $28.45 / $46.60
| Professional | TC | $19.43 | $28.45 | $46.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.86 / $34.22 / $34.22
| Facility | | $33.86 | $34.22 | $34.22 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.61 / $8.61 / $10.42
| Facility | 26 | $8.61 | $8.61 | $10.42 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.45 / $25.60 / $25.60
| Facility | TC | $23.45 | $25.60 | $25.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.71 / $34.22 / $37.14
| Professional | | $33.71 | $34.22 | $37.14 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.40 / $8.61 / $10.42
| Professional | 26 | $8.40 | $8.61 | $10.42 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.45 / $25.60 / $28.19
| Professional | TC | $23.45 | $25.60 | $28.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.43 / $37.15 / $62.23
| Professional | | $29.43 | $37.15 | $62.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.28 / $10.38 / $16.98
| Professional | 26 | $8.28 | $10.38 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.23 / $26.72 / $45.94
| Professional | TC | $21.23 | $26.72 | $45.94 |