- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $218.78 / $501.19
| Facility | | $64.57 | $218.78 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.59 / $20.89 / $42.66
| Facility | 26 | $12.59 | $20.89 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $54.95 / $186.21 / $398.11
| Facility | TC | $54.95 | $186.21 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $54.95 / $173.78
| Professional | | $13.18 | $54.95 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $17.38 / $50.12
| Professional | 26 | $8.71 | $17.38 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $19.95 / $95.50 / $208.93
| Professional | 50 | $19.95 | $95.50 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.12 / $48.98 / $97.72
| Professional | TC | $25.12 | $48.98 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $239.88 / $302.00
| Facility | | $34.67 | $239.88 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $75.86 / $117.49
| Professional | | $34.67 | $75.86 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.00 / $17.38 / $27.54
| Professional | 26 | $10.00 | $17.38 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.30 / $57.54 / $91.20
| Professional | TC | $26.30 | $57.54 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $91.20 / $112.20
| Professional | | $81.28 | $91.20 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $17.78 / $19.95 / $23.44
| Professional | 26 | $17.78 | $19.95 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $64.57 / $70.79 / $89.13
| Professional | TC | $64.57 | $70.79 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $79.43 / $363.08
| Facility | | $39.81 | $79.43 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.59 / $17.38 / $42.66
| Facility | 26 | $12.59 | $17.38 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $43.65 / $186.21 / $398.11
| Facility | TC | $43.65 | $186.21 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $67.61 / $123.03
| Professional | | $33.11 | $67.61 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $17.38 / $29.51
| Professional | 26 | $9.33 | $17.38 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $21.88 / $107.15 / $245.47
| Professional | 50 | $21.88 | $107.15 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.90 / $61.66 / $93.33
| Professional | TC | $30.90 | $61.66 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $74.13 / $83.18
| Facility | | $52.48 | $74.13 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $14.79 / $17.78 / $18.20
| Facility | 26 | $14.79 | $17.78 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $38.90 / $56.23 / $64.57
| Facility | TC | $38.90 | $56.23 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $36.31
| Professional | | $36.31 | $36.31 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.96 / $16.60 / $20.42
| Professional | 26 | $10.96 | $16.60 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.88 / $45.71 / $63.10
| Professional | TC | $33.88 | $45.71 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $60.26 / $102.33
| Facility | | $36.31 | $60.26 | $102.33 |
- 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
- $61.66 / $81.28 / $117.49
| Professional | | $61.66 | $81.28 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.88 / $19.05 / $26.30
| Professional | 26 | $12.88 | $19.05 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $37.15 / $58.88 / $91.20
| Professional | TC | $37.15 | $58.88 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $281.84 / $354.81
| Facility | | $204.17 | $281.84 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | 26 | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | TC | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $83.18 / $107.15
| Professional | | $66.07 | $83.18 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.22 / $19.05 / $24.55
| Professional | 26 | $16.22 | $19.05 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $46.77 / $63.10 / $83.18
| Professional | TC | $46.77 | $63.10 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $323.59 / $426.58
| Facility | | $263.03 | $323.59 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $42.66 / $107.15
| Professional | | $34.67 | $42.66 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $11.22 / $25.12
| Professional | 26 | $8.71 | $11.22 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.55 / $32.36 / $83.18
| Professional | TC | $24.55 | $32.36 | $83.18 |