- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $218.78 / $501.19
| Facility | | $53.70 | $218.78 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $13.80 / $28.84
| Facility | 26 | $6.92 | $13.80 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $114.82 / $660.69
| Facility | TC | $26.92 | $114.82 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $36.31 / $114.82
| Professional | | $10.23 | $36.31 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $14.79 / $46.77
| Professional | 26 | $7.24 | $14.79 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $33.88 / $109.65 / $229.09
| Professional | 50 | $33.88 | $109.65 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.20 / $30.90 / $83.18
| Professional | TC | $18.20 | $30.90 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $23.44 / $41.69
| Professional | | $18.62 | $23.44 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.03 / $7.24 / $12.02
| Professional | 26 | $6.03 | $7.24 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $37.15 / $37.15 / $37.15
| Professional | 50 | $37.15 | $37.15 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $23.44 / $30.90
| Professional | TC | $19.05 | $23.44 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $8,511.38 / $77,624.71
| Facility | | $64.57 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $77.62 / $109.65 / $158.49
| Facility | TC | $77.62 | $109.65 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $35.48 / $63.10
| Professional | | $30.90 | $35.48 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $10.23 / $19.95
| Professional | 26 | $7.76 | $10.23 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $61.66 / $70.79 / $125.89
| Professional | 50 | $61.66 | $70.79 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.91 / $25.12 / $43.65
| Professional | TC | $22.91 | $25.12 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $66.07 / $208.93
| Facility | | $29.51 | $66.07 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.86 / $8.71 / $12.59
| Facility | 26 | $1.86 | $8.71 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $5.62 / $26.30 / $37.15
| Facility | TC | $5.62 | $26.30 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $35.48 / $60.26
| Professional | | $23.44 | $35.48 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.31 / $10.23 / $16.60
| Professional | 26 | $6.31 | $10.23 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.22 / $25.12 / $45.71
| Professional | TC | $16.22 | $25.12 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $42.66 / $53.70
| Professional | | $33.11 | $42.66 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $10.23 / $12.59
| Professional | 26 | $7.76 | $10.23 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $32.36 / $40.74
| Professional | TC | $25.70 | $32.36 | $40.74 |
- 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 / $34.67 / $64.57
| Professional | | $21.88 | $34.67 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $9.55 / $16.98
| Professional | 26 | $7.08 | $9.55 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.45 / $24.55 / $47.86
| Professional | TC | $14.45 | $24.55 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $181.97 / $309.03
| Facility | | $95.50 | $181.97 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $120.23 / $213.80 / $407.38
| Facility | TC | $120.23 | $213.80 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $37.15 / $43.65
| Professional | | $34.67 | $37.15 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $9.77 / $15.85
| Professional | 26 | $7.94 | $9.77 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $75.86 / $81.28 / $87.10
| Professional | 50 | $75.86 | $81.28 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.84 / $34.67 / $42.66
| Professional | TC | $28.84 | $34.67 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $85.11 / $186.21
| Facility | | $61.66 | $85.11 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.91 / $9.55 / $12.59
| Professional | 26 | $8.91 | $9.55 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $213.80 / $489.78
| Facility | | $43.65 | $213.80 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $11.48 / $28.84
| Facility | 26 | $6.92 | $11.48 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $100.00 / $660.69
| Facility | TC | $26.92 | $100.00 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $37.15 / $91.20
| Professional | | $14.79 | $37.15 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $11.48 / $37.15
| Professional | 26 | $7.08 | $11.48 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $36.31 / $117.49 / $257.04
| Professional | 50 | $36.31 | $117.49 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $29.51 / $57.54
| Professional | TC | $19.05 | $29.51 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,023.29 / $1,258.93
| Facility | | $1,000.00 | $1,023.29 | $1,258.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $38.90 / $60.26
| Professional | | $16.98 | $38.90 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $19.05 / $35.48
| Facility | | $16.60 | $19.05 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $9.55 / $9.55
| Facility | 26 | $7.59 | $9.55 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $19.50 / $22.91
| Facility | TC | $19.50 | $19.50 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $18.62 / $38.90
| Professional | | $15.49 | $18.62 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.41 / $7.76 / $9.55
| Professional | 26 | $7.41 | $7.76 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $22.39 / $25.12
| Professional | TC | $19.50 | $22.39 | $25.12 |
- 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
- $23.44 / $30.90 / $52.48
| Professional | | $23.44 | $30.90 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $8.51 / $14.45
| Professional | 26 | $6.61 | $8.51 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.22 / $22.91 / $38.02
| Professional | TC | $16.22 | $22.91 | $38.02 |