- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $12.30 / $28.84
| Facility | 26 | $8.51 | $12.30 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $35.48 / $123.03 / $436.52
| Facility | TC | $35.48 | $123.03 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $54.95 / $194.98
| Professional | | $18.62 | $54.95 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.00 / $21.88 / $54.95
| Professional | 26 | $10.00 | $21.88 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.69 / $114.82 / $263.03
| Professional | 50 | $41.69 | $114.82 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $46.77 / $102.33
| Professional | TC | $26.92 | $46.77 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $40.74 / $77.62
| Professional | | $33.11 | $40.74 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $16.22 / $25.12
| Professional | 26 | $8.71 | $16.22 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $53.70 / $58.88 / $67.61
| Professional | 50 | $53.70 | $58.88 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $43.65 / $102.33
| Professional | | $34.67 | $43.65 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $9.77 / $22.91
| Professional | 26 | $7.76 | $9.77 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $51.29 / $64.57 / $141.25
| Professional | 50 | $51.29 | $64.57 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $33.11 / $69.18
| Professional | TC | $26.92 | $33.11 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $48.98 / $64.57
| Professional | | $15.85 | $48.98 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.69 / $12.59 / $17.78
| Facility | 26 | $2.69 | $12.59 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $8.51 / $39.81 / $56.23
| Facility | TC | $8.51 | $39.81 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $60.26 / $177.83
| Professional | | $36.31 | $60.26 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $15.85 / $40.74
| Professional | 26 | $8.91 | $15.85 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.30 / $45.71 / $165.96
| Professional | TC | $26.30 | $45.71 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $28.18 / $28.18
| Facility | TC | $28.18 | $28.18 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $67.61 / $104.71
| Professional | | $51.29 | $67.61 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.22 / $16.22 / $38.02
| Professional | 26 | $11.22 | $16.22 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $41.69 / $54.95 / $79.43
| Professional | TC | $41.69 | $54.95 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | TC | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $61.66 / $109.65
| Professional | | $28.84 | $61.66 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.12 / $14.45 / $26.30
| Professional | 26 | $9.12 | $14.45 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $46.77 / $85.11
| Professional | TC | $22.39 | $46.77 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $74.13
| Professional | | $57.54 | $57.54 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $13.18 / $15.49
| Professional | 26 | $7.94 | $13.18 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $35.48 / $87.10 / $426.58
| Facility | TC | $35.48 | $87.10 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.67 / $44.67 / $63.10
| Professional | | $44.67 | $44.67 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.96 / $12.88 / $25.12
| Professional | 26 | $10.96 | $12.88 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $87.10 / $89.13 / $123.03
| Professional | 50 | $87.10 | $89.13 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $60.26 / $123.03
| Professional | | $50.12 | $60.26 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.88 / $15.49 / $29.51
| Professional | 26 | $12.88 | $15.49 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $37.15 / $43.65 / $93.33
| Professional | TC | $37.15 | $43.65 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $44.67 / $89.13
| Professional | | $32.36 | $44.67 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $11.22 / $22.39
| Professional | 26 | $8.51 | $11.22 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.55 / $33.11 / $67.61
| Professional | TC | $24.55 | $33.11 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.12 / $12.88 / $35.48
| Facility | 26 | $9.12 | $12.88 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $12.02 / $23.99 / $69.18
| Facility | TC | $12.02 | $23.99 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $61.66 / $114.82
| Professional | | $28.84 | $61.66 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.12 / $14.45 / $32.36
| Professional | 26 | $9.12 | $14.45 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.39 / $46.77 / $87.10
| Professional | TC | $22.39 | $46.77 | $87.10 |