- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.27 / $144.41 / $507.00
| Facility | | $41.27 | $144.41 | $507.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.16 / $11.06 / $24.57
| Facility | 26 | $7.16 | $11.06 | $24.57 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.94 / $128.68 / $351.36
| Facility | TC | $31.94 | $128.68 | $351.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.42 / $44.00 / $143.12
| Professional | | $16.42 | $44.00 | $143.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.23 / $10.78 / $35.49
| Professional | 26 | $7.23 | $10.78 | $35.49 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $19.20 / $93.14 / $161.27
| Professional | 50 | $19.20 | $93.14 | $161.27 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $13.59 / $19.43 / $34.59
| Professional | 52 | $13.59 | $19.43 | $34.59 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.50 / $30.21 / $70.62
| Professional | TC | $20.50 | $30.21 | $70.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.45 / $36.76 / $36.76
| Professional | | $26.45 | $36.76 | $36.76 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.65 / $8.56 / $12.84
| Professional | 26 | $6.65 | $8.56 | $12.84 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.88 / $41.88 / $47.87
| Professional | 50 | $41.88 | $41.88 | $47.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.05 / $39.83 / $101.40
| Professional | | $31.05 | $39.83 | $101.40 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.62 / $8.36 / $21.60
| Professional | 26 | $6.62 | $8.36 | $21.60 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $45.70 / $59.74 / $138.76
| Professional | 50 | $45.70 | $59.74 | $138.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.06 / $30.75 / $68.00
| Professional | TC | $24.06 | $30.75 | $68.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $13.19 / $43.35
| Facility | | $13.19 | $13.19 | $43.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $43.35 / $56.54
| Professional | | $13.19 | $43.35 | $56.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.73 / $103.29 / $222.32
| Facility | | $64.73 | $103.29 | $222.32 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.36 / $10.36 / $10.36
| Facility | 26 | $10.36 | $10.36 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $35.79 / $35.79 / $35.79
| Facility | TC | $35.79 | $35.79 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.08 / $54.69 / $135.78
| Professional | | $31.08 | $54.69 | $135.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.02 / $12.73 / $27.63
| Professional | 26 | $7.02 | $12.73 | $27.63 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.26 / $48.26 / $54.93
| Professional | 50 | $48.26 | $48.26 | $54.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.05 / $41.28 / $114.27
| Professional | TC | $23.05 | $41.28 | $114.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.87 / $48.23 / $332.00
| Facility | | $26.87 | $48.23 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.58 / $48.03 / $82.74
| Professional | | $37.58 | $48.03 | $82.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $11.80 / $20.63
| Professional | 26 | $8.51 | $11.80 | $20.63 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $32.34 / $42.18 / $73.14
| Professional | TC | $32.34 | $42.18 | $73.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.15 / $15.15 / $15.15
| Facility | | $15.15 | $15.15 | $15.15 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $9.09 / $9.09 / $9.09
| Facility | TC | $9.09 | $9.09 | $9.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.95 / $48.00 / $86.03
| Professional | | $24.95 | $48.00 | $86.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.53 / $11.92 / $19.32
| Professional | 26 | $5.53 | $11.92 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.42 / $37.22 / $66.70
| Professional | TC | $19.42 | $37.22 | $66.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $43.45 / $75.95
| Professional | | $30.90 | $43.45 | $75.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.74 / $10.75 / $11.06
| Professional | 26 | $6.74 | $10.75 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $61.80 / $84.66 / $84.66
| Professional | 50 | $61.80 | $84.66 | $84.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.19 / $111.22 / $250.73
| Facility | | $35.19 | $111.22 | $250.73 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.91 / $88.48 / $373.56
| Facility | TC | $29.91 | $88.48 | $373.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.88 / $51.46 / $97.34
| Professional | | $37.88 | $51.46 | $97.34 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.64 / $12.88 / $32.00
| Professional | 26 | $10.64 | $12.88 | $32.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $21.28 / $79.18 / $134.94
| Professional | 50 | $21.28 | $79.18 | $134.94 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.46 / $50.43 / $75.34
| Professional | TC | $33.46 | $50.43 | $75.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.00 / $103.45 / $254.50
| Facility | | $48.00 | $103.45 | $254.50 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.36 / $10.36 / $10.36
| Facility | 26 | $10.36 | $10.36 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $35.79 / $35.79 / $35.79
| Facility | TC | $35.79 | $35.79 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.31 / $54.80 / $124.68
| Professional | | $33.31 | $54.80 | $124.68 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.37 / $12.37 / $27.10
| Professional | 26 | $7.37 | $12.37 | $27.10 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.26 / $48.26 / $54.93
| Professional | 50 | $48.26 | $48.26 | $54.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.34 / $38.94 / $100.71
| Professional | TC | $24.34 | $38.94 | $100.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.32 / $40.13 / $79.95
| Professional | | $30.32 | $40.13 | $79.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.31 / $9.74 / $21.44
| Professional | 26 | $7.31 | $9.74 | $21.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.15 / $31.25 / $70.77
| Professional | TC | $24.15 | $31.25 | $70.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.21 / $47.21 / $95.62
| Facility | | $47.21 | $47.21 | $95.62 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.60 / $10.60 / $29.22
| Facility | 26 | $10.60 | $10.60 | $29.22 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $36.61 / $36.61 / $72.93
| Facility | TC | $36.61 | $36.61 | $72.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.95 / $59.74 / $103.68
| Professional | | $24.95 | $59.74 | $103.68 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.53 / $13.53 / $24.28
| Professional | 26 | $5.53 | $13.53 | $24.28 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.42 / $46.21 / $81.45
| Professional | TC | $19.42 | $46.21 | $81.45 |