- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $218.78 / $524.81
| Facility | | $67.61 | $218.78 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $14.79 / $30.90
| Facility | 26 | $7.59 | $14.79 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $33.88 / $147.91 / $478.63
| Facility | TC | $33.88 | $147.91 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $40.74 / $128.82
| Professional | | $10.47 | $40.74 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $15.49 / $46.77
| Professional | 26 | $7.94 | $15.49 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.74 / $95.50 / $281.84
| Professional | 50 | $40.74 | $95.50 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $29.51 / $125.89 / $125.89
| Professional | 52 | $29.51 | $125.89 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.91 / $40.74 / $109.65
| Professional | TC | $22.91 | $40.74 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $28.84 / $52.48
| Professional | | $22.91 | $28.84 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.46 / $8.91 / $13.80
| Professional | 26 | $6.46 | $8.91 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $30.20 / $38.90 / $63.10
| Professional | 50 | $30.20 | $38.90 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $25.12 / $37.15
| Professional | TC | $19.05 | $25.12 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $93.33 / $131.83 / $190.55
| Facility | TC | $93.33 | $131.83 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $39.81 / $63.10
| Professional | | $34.67 | $39.81 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.32 / $10.96 / $19.95
| Professional | 26 | $8.32 | $10.96 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $70.79 / $81.28 / $125.89
| Professional | 50 | $70.79 | $81.28 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $29.51 / $47.86
| Professional | TC | $26.92 | $29.51 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $79.43 / $208.93
| Facility | | $35.48 | $79.43 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $2.04 / $9.55 / $13.49
| Facility | 26 | $2.04 | $9.55 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.46 / $30.20 / $43.65
| Facility | TC | $6.46 | $30.20 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $39.81 / $69.18
| Professional | | $26.92 | $39.81 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $10.47 / $16.98
| Professional | 26 | $6.61 | $10.47 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $29.51 / $53.70
| Professional | TC | $19.50 | $29.51 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $50.12 / $63.10
| Professional | | $39.81 | $50.12 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $11.22 / $13.80
| Professional | 26 | $8.51 | $11.22 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.90 / $39.81 / $50.12
| Professional | TC | $30.90 | $39.81 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Facility | | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $32.36 / $32.36 / $32.36
| Facility | TC | $32.36 | $32.36 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $38.90 / $75.86
| Professional | | $22.39 | $38.90 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $10.00 / $18.20
| Professional | 26 | $7.08 | $10.00 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.14 / $29.51 / $58.88
| Professional | TC | $15.14 | $29.51 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $181.97 / $275.42
| Facility | | $100.00 | $181.97 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $144.54 / $269.15 / $426.58
| Facility | TC | $144.54 | $269.15 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $42.66 / $50.12
| Professional | | $39.81 | $42.66 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $10.23 / $16.22
| Professional | 26 | $8.71 | $10.23 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $85.11 / $93.33 / $104.71
| Professional | 50 | $85.11 | $93.33 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.88 / $38.90 / $48.98
| Professional | TC | $33.88 | $38.90 | $48.98 |
- 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
- Low / Median / High Price
- $45.71 / $45.71 / $45.71
| Professional | | $45.71 | $45.71 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $10.47 / $16.22
| Professional | 26 | $9.55 | $10.47 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $213.80 / $501.19
| Facility | | $57.54 | $213.80 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $12.59 / $28.84
| Facility | 26 | $7.59 | $12.59 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $33.88 / $141.25 / $501.19
| Facility | TC | $33.88 | $141.25 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $41.69 / $104.71
| Professional | | $12.30 | $41.69 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $12.30 / $37.15
| Professional | 26 | $7.59 | $12.30 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $42.66 / $123.03 / $234.42
| Professional | 50 | $42.66 | $123.03 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $29.51 / $30.90 / $125.89
| Professional | 52 | $29.51 | $30.90 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.91 / $35.48 / $72.44
| Professional | TC | $22.91 | $35.48 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $2,137.96 / $2,570.40
| Facility | | $1,047.13 | $2,137.96 | $2,570.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $38.90 / $70.79
| Professional | | $18.20 | $38.90 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $19.95 / $35.48
| Facility | | $16.98 | $19.95 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.32 / $8.32 / $9.55
| Facility | 26 | $8.32 | $8.32 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $26.92 / $26.92
| Facility | TC | $20.42 | $26.92 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $19.95 / $38.90
| Professional | | $16.98 | $19.95 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $8.32 / $8.71
| Professional | 26 | $8.13 | $8.32 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $26.92 / $30.20
| Professional | TC | $26.92 | $26.92 | $30.20 |
- 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
- $25.70 / $35.48 / $58.88
| Professional | | $25.70 | $35.48 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.76 / $9.12 / $15.85
| Professional | 26 | $6.76 | $9.12 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $26.30 / $45.71
| Professional | TC | $19.05 | $26.30 | $45.71 |