- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $204.17 / $501.19
| Facility | | $64.57 | $204.17 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $11.48 / $16.98
| Facility | 26 | $8.71 | $11.48 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $34.67 / $269.15 / $724.44
| Facility | TC | $34.67 | $269.15 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $44.67 / $154.88
| Professional | | $9.55 | $44.67 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $16.98 / $52.48
| Professional | 26 | $8.51 | $16.98 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.62 / $85.11 / $251.19
| Professional | 50 | $18.62 | $85.11 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $44.67 / $97.72
| Professional | TC | $25.70 | $44.67 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $33.88 / $54.95
| Professional | | $26.30 | $33.88 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $9.77 / $16.22
| Professional | 26 | $6.92 | $9.77 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.69 / $50.12 / $104.71
| Professional | 50 | $41.69 | $50.12 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.89 / $28.84 / $47.86
| Professional | TC | $20.89 | $28.84 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $213.80 / $223.87
| Facility | | $190.55 | $213.80 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $39.81 / $64.57
| Professional | | $29.51 | $39.81 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $12.59 / $19.50
| Professional | 26 | $9.55 | $12.59 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $44.67 / $60.26 / $95.50
| Professional | 50 | $44.67 | $60.26 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.95 / $27.54 / $45.71
| Professional | TC | $19.95 | $27.54 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $51.29 / $79.43
| Professional | | $42.66 | $51.29 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.00 / $11.75 / $18.20
| Professional | 26 | $10.00 | $11.75 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.11 / $38.90 / $61.66
| Professional | TC | $33.11 | $38.90 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $36.31 / $60.26
| Facility | | $10.00 | $36.31 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $34.67 / $57.54
| Professional | | $9.33 | $34.67 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $48.98 / $223.87
| Facility | | $30.90 | $48.98 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.19 / $10.23 / $14.79
| Facility | 26 | $2.19 | $10.23 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $7.41 / $34.67 / $48.98
| Facility | TC | $7.41 | $34.67 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $46.77 / $87.10
| Professional | | $31.62 | $46.77 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $12.02 / $20.42
| Professional | 26 | $8.13 | $12.02 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.44 / $34.67 / $66.07
| Professional | TC | $23.44 | $34.67 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $229.09 / $389.05
| Facility | | $109.65 | $229.09 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.19 / $10.23 / $14.79
| Facility | 26 | $2.19 | $10.23 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $7.08 / $39.81 / $316.23
| Facility | TC | $7.08 | $39.81 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $43.65 / $83.18
| Professional | | $27.54 | $43.65 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $12.88 / $26.30
| Professional | 26 | $8.13 | $12.88 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $85.11 / $85.11 / $85.11
| Professional | 50 | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $33.88 / $66.07
| Professional | TC | $22.39 | $33.88 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $32.36 / $33.11
| Professional | | $15.49 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.15 / $107.15 / $107.15
| Facility | | $107.15 | $107.15 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $107.15 / $107.15 / $107.15
| Facility | 26 | $107.15 | $107.15 | $107.15 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $107.15 / $107.15 / $107.15
| Facility | TC | $107.15 | $107.15 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $48.98 / $89.13
| Professional | | $41.69 | $48.98 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $11.75 / $20.89
| Professional | 26 | $9.55 | $11.75 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.51 / $38.02 / $66.07
| Professional | TC | $29.51 | $38.02 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $66.07 / $208.93
| Facility | | $9.77 | $66.07 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $38.90 / $67.61
| Professional | | $28.84 | $38.90 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $10.00 / $17.38
| Professional | 26 | $7.59 | $10.00 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $28.84 / $50.12
| Professional | TC | $20.42 | $28.84 | $50.12 |