- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.07 / $152.40 / $512.19
| Facility | | $39.07 | $152.40 | $512.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.63 / $9.66 / $19.62
| Facility | 26 | $6.63 | $9.66 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.57 / $121.06 / $367.80
| Facility | TC | $28.57 | $121.06 | $367.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $37.54 / $118.89
| Professional | | $13.82 | $37.54 | $118.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.84 / $11.54 / $34.77
| Professional | 26 | $6.84 | $11.54 | $34.77 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $34.57 / $84.06 / $143.69
| Professional | 50 | $34.57 | $84.06 | $143.69 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.04 / $17.55 / $30.98
| Professional | 52 | $12.04 | $17.55 | $30.98 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.44 / $27.35 / $72.89
| Professional | TC | $17.44 | $27.35 | $72.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.67 / $28.56 / $36.85
| Professional | | $23.67 | $28.56 | $36.85 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.16 / $7.51 / $16.52
| Professional | 26 | $6.16 | $7.51 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $42.84 / $42.84 / $42.84
| Professional | 50 | $42.84 | $42.84 | $42.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.89 / $35.95 / $89.56
| Professional | | $27.89 | $35.95 | $89.56 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.14 / $7.76 / $19.35
| Professional | 26 | $6.14 | $7.76 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.25 / $53.92 / $122.10
| Professional | 50 | $41.25 | $53.92 | $122.10 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.56 / $27.34 / $60.75
| Professional | TC | $21.56 | $27.34 | $60.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $39.04
| Facility | | $12.22 | $12.22 | $39.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $39.04 / $51.27
| Professional | | $12.22 | $39.04 | $51.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.01 / $93.21 / $193.04
| Facility | | $58.01 | $93.21 | $193.04 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.68 / $31.68 / $31.68
| Facility | TC | $31.68 | $31.68 | $31.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.92 / $49.55 / $121.15
| Professional | | $27.92 | $49.55 | $121.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.16 / $11.63 / $25.59
| Professional | 26 | $6.16 | $11.63 | $25.59 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $43.28 / $49.18
| Professional | 50 | $43.28 | $43.28 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.79 / $37.28 / $103.05
| Professional | TC | $20.79 | $37.28 | $103.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $42.69 / $332.00
| Facility | | $23.77 | $42.69 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.60 / $42.91 / $73.92
| Professional | | $33.60 | $42.91 | $73.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.89 / $11.05 / $19.12
| Professional | 26 | $7.89 | $11.05 | $19.12 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.60 / $37.29 / $67.52
| Professional | TC | $28.60 | $37.29 | $67.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $12.63 / $12.63
| Facility | | $12.63 | $12.63 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $7.58 / $7.58 / $7.58
| Facility | TC | $7.58 | $7.58 | $7.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.00 / $42.93 / $76.94
| Professional | | $22.00 | $42.93 | $76.94 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.63 / $11.04 / $17.89
| Professional | 26 | $4.63 | $11.04 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.37 / $32.95 / $59.05
| Professional | TC | $17.37 | $32.95 | $59.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.58 / $38.83 / $67.84
| Professional | | $33.58 | $38.83 | $67.84 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.06 / $10.11 / $10.84
| Professional | 26 | $7.06 | $10.11 | $10.84 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $75.66 / $75.66 / $75.66
| Professional | 50 | $75.66 | $75.66 | $75.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.34 / $105.56 / $396.65
| Facility | | $30.34 | $105.56 | $396.65 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $27.21 / $108.11 / $338.67
| Facility | TC | $27.21 | $108.11 | $338.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.36 / $46.97 / $60.26
| Professional | | $34.36 | $46.97 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.84 / $11.00 / $20.38
| Professional | 26 | $9.84 | $11.00 | $20.38 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $71.08 / $94.08 / $120.50
| Professional | 50 | $71.08 | $94.08 | $120.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $25.70 / $45.12
| Professional | TC | $25.70 | $25.70 | $45.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.00 / $93.29 / $252.23
| Facility | | $43.00 | $93.29 | $252.23 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.68 / $31.68 / $31.68
| Facility | TC | $31.68 | $31.68 | $31.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.91 / $48.87 / $113.20
| Professional | | $29.91 | $48.87 | $113.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.62 / $11.46 / $25.13
| Professional | 26 | $6.62 | $11.46 | $25.13 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $43.28 / $49.18
| Professional | 50 | $43.28 | $43.28 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.76 / $34.54 / $89.53
| Professional | TC | $21.76 | $34.54 | $89.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.28 / $35.96 / $75.42
| Professional | | $27.28 | $35.96 | $75.42 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.98 / $9.02 / $19.14
| Professional | 26 | $6.98 | $9.02 | $19.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.08 / $27.08 / $55.80
| Professional | TC | $21.08 | $27.08 | $55.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.22 / $42.22 / $93.63
| Facility | | $42.22 | $42.22 | $93.63 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.82 / $9.82 / $38.24
| Facility | 26 | $9.82 | $9.82 | $38.24 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $32.40 / $32.40 / $75.73
| Facility | TC | $32.40 | $32.40 | $75.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.00 / $53.37 / $93.63
| Professional | | $22.00 | $53.37 | $93.63 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.63 / $12.52 / $22.48
| Professional | 26 | $4.63 | $12.52 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.37 / $40.85 / $73.22
| Professional | TC | $17.37 | $40.85 | $73.22 |