- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $323.59 / $724.44
| Facility | | $50.12 | $323.59 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.37 / $7.08 / $11.22
| Facility | 26 | $5.37 | $7.08 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.99 / $165.96 / $562.34
| Facility | TC | $23.99 | $165.96 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $38.90 / $120.23
| Professional | | $11.22 | $38.90 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $12.88 / $43.65
| Professional | 26 | $7.08 | $12.88 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $37.15 / $104.71 / $213.80
| Professional | 50 | $37.15 | $104.71 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.79 / $30.90 / $81.28
| Professional | 52 | $14.79 | $30.90 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.89 / $31.62 / $83.18
| Professional | TC | $20.89 | $31.62 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $30.90 / $50.12
| Professional | | $23.44 | $30.90 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.31 / $8.13 / $15.49
| Professional | 26 | $6.31 | $8.13 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $37.15 / $42.66 / $83.18
| Professional | 50 | $37.15 | $42.66 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.78 / $24.55 / $36.31
| Professional | TC | $17.78 | $24.55 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $190.55 / $331.13
| Facility | | $74.13 | $190.55 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $27.54 / $37.15
| Professional | | $6.46 | $27.54 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $158.49 / $446.68
| Facility | | $33.88 | $158.49 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $42.66 / $75.86
| Professional | | $31.62 | $42.66 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $85.11 / $85.11
| Facility | | $33.88 | $85.11 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $25.70 / $27.54
| Facility | TC | $25.70 | $25.70 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $21.38 / $21.38
| Professional | 26 | $7.94 | $21.38 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $109.65 / $245.47
| Facility | | $38.02 | $109.65 | $245.47 |
- 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 / $37.15 / $72.44
| Professional | | $26.92 | $37.15 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $9.77 / $19.50
| Professional | 26 | $7.08 | $9.77 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $28.18 / $54.95
| Professional | TC | $19.50 | $28.18 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.98 / $234.42 / $363.08
| Facility | | $48.98 | $234.42 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | 26 | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $181.97 / $181.97 / $181.97
| Facility | TC | $181.97 | $181.97 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $234.42 / $309.03
| Professional | | $41.69 | $234.42 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Professional | 26 | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $181.97 / $239.88 / $239.88
| Professional | TC | $181.97 | $239.88 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $61.66 / $537.03
| Facility | | $30.90 | $61.66 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.37 / $6.76 / $10.23
| Facility | 26 | $5.37 | $6.76 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $165.96 / $562.34
| Facility | TC | $21.88 | $165.96 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $41.69 / $109.65
| Professional | | $16.22 | $41.69 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $10.96 / $35.48
| Professional | 26 | $6.61 | $10.96 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $26.30 / $95.50 / $204.17
| Professional | 50 | $26.30 | $95.50 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.79 / $29.51 / $81.28
| Professional | 52 | $14.79 | $29.51 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $32.36 / $69.18
| Professional | TC | $20.42 | $32.36 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $32.36 / $33.11
| Professional | | $7.08 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,454.71 / $3,388.44
| Facility | | $1,698.24 | $2,454.71 | $3,388.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $35.48 / $74.13
| Professional | | $8.71 | $35.48 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $43.65 / $89.13
| Facility | | $30.20 | $43.65 | $89.13 |
- 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
- $26.30 / $37.15 / $79.43
| Professional | | $26.30 | $37.15 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $9.12 / $16.22
| Professional | 26 | $7.08 | $9.12 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.05 / $25.70 / $47.86
| Professional | TC | $19.05 | $25.70 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $138.04 / $181.97
| Facility | | $70.79 | $138.04 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $33.11 / $54.95
| Professional | | $27.54 | $33.11 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $8.51 / $14.45
| Professional | 26 | $7.24 | $8.51 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.95 / $24.55 / $39.81
| Professional | TC | $19.95 | $24.55 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $37.15 / $44.67
| Professional | | $35.48 | $37.15 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $8.51 / $10.23
| Professional | 26 | $8.13 | $8.51 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $27.54 / $28.84 / $33.88
| Professional | TC | $27.54 | $28.84 | $33.88 |