- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $223.87 / $562.34
| Facility | | $63.10 | $223.87 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $14.13 / $32.36
| Facility | 26 | $7.24 | $14.13 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.84 / $123.03 / $436.52
| Facility | TC | $28.84 | $123.03 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $37.15 / $117.49
| Professional | | $8.91 | $37.15 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $14.79 / $46.77
| Professional | 26 | $7.59 | $14.79 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $46.77 / $112.20 / $251.19
| Professional | 50 | $46.77 | $112.20 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $28.18 / $33.11 / $52.48
| Professional | 52 | $28.18 | $33.11 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.89 / $34.67 / $104.71
| Professional | TC | $20.89 | $34.67 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $28.18 / $44.67
| Professional | | $21.88 | $28.18 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.31 / $7.76 / $12.30
| Professional | 26 | $6.31 | $7.76 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $32.36 / $38.90 / $57.54
| Professional | 50 | $32.36 | $38.90 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.38 / $25.12 / $44.67
| Professional | TC | $17.38 | $25.12 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $8,511.38 / $77,624.71
| Facility | | $18.62 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $83.18 / $117.49 / $165.96
| Facility | TC | $83.18 | $117.49 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $38.90 / $63.10
| Professional | | $33.11 | $38.90 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $10.72 / $19.95
| Professional | 26 | $7.94 | $10.72 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $66.07 / $77.62 / $125.89
| Professional | 50 | $66.07 | $77.62 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.55 / $28.18 / $43.65
| Professional | TC | $24.55 | $28.18 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $72.44 / $208.93
| Facility | | $33.11 | $72.44 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.95 / $9.12 / $13.18
| Facility | 26 | $1.95 | $9.12 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.03 / $28.18 / $40.74
| Facility | TC | $6.03 | $28.18 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $38.02 / $66.07
| Professional | | $24.55 | $38.02 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $10.47 / $17.38
| Professional | 26 | $6.61 | $10.47 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.20 / $27.54 / $48.98
| Professional | TC | $18.20 | $27.54 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $46.77 / $58.88
| Professional | | $36.31 | $46.77 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $10.72 / $13.18
| Professional | 26 | $8.13 | $10.72 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $36.31 / $45.71
| Professional | TC | $28.18 | $36.31 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | TC | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $36.31 / $70.79
| Professional | | $21.88 | $36.31 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $9.77 / $18.20
| Professional | 26 | $7.08 | $9.77 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.79 / $26.92 / $53.70
| Professional | TC | $14.79 | $26.92 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $177.83 / $316.23
| Facility | | $100.00 | $177.83 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $144.54 / $218.78 / $537.03
| Facility | TC | $144.54 | $218.78 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $41.69 / $50.12
| Professional | | $36.31 | $41.69 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $9.77 / $17.78
| Professional | 26 | $8.71 | $9.77 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $19.05 / $19.95 / $83.18
| Professional | 50 | $19.05 | $19.95 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $38.02 / $44.67 / $45.71
| Professional | TC | $38.02 | $44.67 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $501.19 / $630.96
| Facility | | $501.19 | $501.19 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $10.00 / $16.22
| Professional | 26 | $9.33 | $10.00 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $218.78 / $537.03
| Facility | | $51.29 | $218.78 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $12.02 / $32.36
| Facility | 26 | $7.24 | $12.02 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.51 / $120.23 / $436.52
| Facility | TC | $29.51 | $120.23 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $39.81 / $95.50
| Professional | | $12.88 | $39.81 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $12.02 / $35.48
| Professional | 26 | $7.08 | $12.02 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $46.77 / $117.49 / $245.47
| Professional | 50 | $46.77 | $117.49 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $28.18 / $33.11 / $52.48
| Professional | 52 | $28.18 | $33.11 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.89 / $32.36 / $66.07
| Professional | TC | $20.89 | $32.36 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $38.90 / $66.07
| Professional | | $13.49 | $38.90 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $21.88 / $40.74
| Facility | | $15.14 | $21.88 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $12.02 / $12.02
| Facility | 26 | $7.94 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.95 / $19.95 / $25.12
| Facility | TC | $19.95 | $19.95 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $19.95 / $40.74
| Professional | | $15.85 | $19.95 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $7.94 / $12.02
| Professional | 26 | $7.76 | $7.94 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.95 / $24.55 / $27.54
| Professional | TC | $19.95 | $24.55 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $234.42 / $309.03
| Facility | | $131.83 | $234.42 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $33.88 / $56.23
| Professional | | $24.55 | $33.88 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.76 / $8.91 / $15.14
| Professional | 26 | $6.76 | $8.91 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.38 / $25.12 / $42.66
| Professional | TC | $17.38 | $25.12 | $42.66 |