- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $114.10 / $399.40
| Facility | | $30.00 | $114.10 | $399.40 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.38 / $9.11 / $18.43
| Facility | 26 | $6.38 | $9.11 | $18.43 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $25.06 / $96.41 / $346.18
| Facility | TC | $25.06 | $96.41 | $346.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $34.49 / $89.48
| Professional | | $15.57 | $34.49 | $89.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.39 / $9.40 / $32.24
| Professional | 26 | $6.39 | $9.40 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $17.14 / $68.59 / $137.94
| Professional | 50 | $17.14 | $68.59 | $137.94 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $11.55 / $16.16 / $29.47
| Professional | 52 | $11.55 | $16.16 | $29.47 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.77 / $23.37 / $58.57
| Professional | TC | $16.77 | $23.37 | $58.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.17 / $26.32 / $30.62
| Professional | | $22.17 | $26.32 | $30.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.90 / $7.62 / $17.05
| Professional | 26 | $5.90 | $7.62 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $35.11 / $35.11 / $35.11
| Professional | 50 | $35.11 | $35.11 | $35.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.43 / $33.38 / $83.78
| Professional | | $26.43 | $33.38 | $83.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.93 / $7.49 / $19.30
| Professional | 26 | $5.93 | $7.49 | $19.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.29 / $50.07 / $113.88
| Professional | 50 | $38.29 | $50.07 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.80 / $25.25 / $55.09
| Professional | TC | $19.80 | $25.25 | $55.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.72 / $11.72 / $36.18
| Facility | | $11.72 | $11.72 | $36.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $36.18 / $47.90
| Professional | | $11.72 | $36.18 | $47.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.30 / $86.49 / $187.09
| Facility | | $53.30 | $86.49 | $187.09 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Facility | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.46 / $29.46 / $29.46
| Facility | TC | $29.46 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.46 / $46.27 / $113.85
| Professional | | $26.46 | $46.27 | $113.85 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.25 / $11.33 / $24.61
| Professional | 26 | $6.25 | $11.33 | $24.61 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.91 / $41.91 / $47.61
| Professional | 50 | $41.91 | $41.91 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.64 / $34.74 / $92.50
| Professional | TC | $19.64 | $34.74 | $92.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.08 / $39.65 / $332.00
| Facility | | $22.08 | $39.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.43 / $40.17 / $69.15
| Professional | | $31.43 | $40.17 | $69.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.56 / $10.53 / $18.41
| Professional | 26 | $7.56 | $10.53 | $18.41 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.56 / $34.61 / $63.46
| Professional | TC | $26.56 | $34.61 | $63.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Facility | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.06 / $6.06 / $6.06
| Facility | TC | $6.06 | $6.06 | $6.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.79 / $40.19 / $72.03
| Professional | | $20.79 | $40.19 | $72.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.16 / $10.59 / $17.16
| Professional | 26 | $5.16 | $10.59 | $17.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.62 / $30.62 / $54.87
| Professional | TC | $15.62 | $30.62 | $54.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.97 / $37.38 / $42.09
| Professional | | $36.97 | $37.38 | $42.09 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.56 / $9.56 / $9.56
| Professional | 26 | $9.56 | $9.56 | $9.56 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $70.08 / $70.08 / $70.84
| Professional | 50 | $70.08 | $70.08 | $70.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.40 / $109.58 / $247.13
| Facility | | $25.40 | $109.58 | $247.13 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.98 / $84.37 / $329.40
| Facility | TC | $28.98 | $84.37 | $329.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.58 / $45.10 / $55.67
| Professional | | $34.58 | $45.10 | $55.67 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.44 / $12.00 / $18.88
| Professional | 26 | $9.44 | $12.00 | $18.88 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $67.00 / $67.73 / $111.32
| Professional | 50 | $67.00 | $67.73 | $111.32 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $39.24 / $39.24 / $39.24
| Professional | TC | $39.24 | $39.24 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.40 / $86.52 / $252.23
| Facility | | $38.40 | $86.52 | $252.23 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Facility | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.46 / $29.46 / $29.46
| Facility | TC | $29.46 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.10 / $46.08 / $105.94
| Professional | | $28.10 | $46.08 | $105.94 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.59 / $11.07 / $24.35
| Professional | 26 | $6.59 | $11.07 | $24.35 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.91 / $41.91 / $47.61
| Professional | 50 | $41.91 | $41.91 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.92 / $32.21 / $81.70
| Professional | TC | $19.92 | $32.21 | $81.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.25 / $34.26 / $71.20
| Professional | | $26.25 | $34.26 | $71.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.75 / $8.66 / $19.11
| Professional | 26 | $6.75 | $8.66 | $19.11 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.61 / $25.97 / $59.39
| Professional | TC | $19.61 | $25.97 | $59.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.52 / $39.52 / $90.09
| Facility | | $39.52 | $39.52 | $90.09 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.41 / $9.41 / $37.03
| Facility | 26 | $9.41 | $9.41 | $37.03 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.11 / $30.11 / $74.14
| Facility | TC | $30.11 | $30.11 | $74.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.79 / $49.93 / $89.31
| Professional | | $20.79 | $49.93 | $89.31 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.16 / $12.01 / $21.56
| Professional | 26 | $5.16 | $12.01 | $21.56 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.62 / $37.92 / $68.04
| Professional | TC | $15.62 | $37.92 | $68.04 |