- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.43 / $82.30 / $476.46
| Facility | | $23.43 | $82.30 | $476.46 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.83 / $8.32 / $17.27
| Facility | 26 | $5.83 | $8.32 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $16.66 / $46.07 / $262.76
| Facility | TC | $16.66 | $46.07 | $262.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $31.30 / $84.80
| Professional | | $20.19 | $31.30 | $84.80 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.83 / $8.02 / $20.28
| Professional | 26 | $5.83 | $8.02 | $20.28 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $15.63 / $76.58 / $117.20
| Professional | 50 | $15.63 | $76.58 | $117.20 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $10.10 / $14.21 / $26.16
| Professional | 52 | $10.10 | $14.21 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.36 / $20.43 / $44.67
| Professional | TC | $14.36 | $20.43 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.55 / $19.57 / $25.08
| Professional | | $18.55 | $19.57 | $25.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.44 / $7.03 / $14.54
| Professional | 26 | $5.44 | $7.03 | $14.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.34 / $27.50 / $71.31
| Professional | | $21.34 | $27.50 | $71.31 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.22 / $6.83 / $16.52
| Professional | 26 | $5.22 | $6.83 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $31.55 / $41.25 / $99.94
| Professional | 50 | $31.55 | $41.25 | $99.94 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.81 / $20.04 / $45.87
| Professional | TC | $15.81 | $20.04 | $45.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $10.76 / $29.02
| Facility | | $10.76 | $10.76 | $29.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $29.02 / $39.79
| Professional | | $10.76 | $29.02 | $39.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.54 / $69.58 / $176.85
| Facility | | $42.54 | $69.58 | $176.85 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $8.51 / $8.51
| Facility | 26 | $8.51 | $8.51 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.86 / $23.86 / $23.86
| Facility | TC | $23.86 | $23.86 | $23.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.30 / $38.76 / $99.22
| Professional | | $22.30 | $38.76 | $99.22 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.41 / $10.44 / $22.48
| Professional | 26 | $5.41 | $10.44 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $35.13 / $35.13 / $39.76
| Professional | 50 | $35.13 | $35.13 | $39.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.04 / $29.65 / $76.88
| Professional | TC | $16.04 | $29.65 | $76.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $32.08 / $332.00
| Facility | | $17.84 | $32.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.22 / $33.94 / $57.68
| Professional | | $26.22 | $33.94 | $57.68 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.95 / $9.68 / $16.79
| Professional | 26 | $6.95 | $9.68 | $16.79 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.46 / $27.94 / $51.33
| Professional | TC | $21.46 | $27.94 | $51.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Facility | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.06 / $6.06 / $6.06
| Facility | TC | $6.06 | $6.06 | $6.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.53 / $33.58 / $60.19
| Professional | | $18.53 | $33.58 | $60.19 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.25 / $9.73 / $15.76
| Professional | 26 | $4.25 | $9.73 | $15.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.28 / $24.79 / $44.42
| Professional | TC | $14.28 | $24.79 | $44.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.11 / $31.11 / $31.11
| Professional | | $31.11 | $31.11 | $31.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.96 / $91.78 / $179.55
| Facility | | $22.96 | $91.78 | $179.55 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.70 / $52.63 / $180.40
| Facility | TC | $19.70 | $52.63 | $180.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.13 / $30.60 / $41.30
| Professional | | $28.13 | $30.60 | $41.30 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.68 / $8.77 / $17.36
| Professional | 26 | $8.68 | $8.77 | $17.36 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $56.26 / $56.26 / $99.22
| Professional | 50 | $56.26 | $56.26 | $99.22 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.07 / $14.07 / $14.07
| Professional | 52 | $14.07 | $14.07 | $14.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.00 / $69.69 / $205.13
| Facility | | $35.00 | $69.69 | $205.13 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $8.51 / $8.51
| Facility | 26 | $8.51 | $8.51 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.86 / $23.86 / $23.86
| Facility | TC | $23.86 | $23.86 | $23.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.20 / $38.72 / $87.95
| Professional | | $24.20 | $38.72 | $87.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.74 / $10.15 / $22.11
| Professional | 26 | $5.74 | $10.15 | $22.11 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $35.13 / $35.13 / $39.76
| Professional | 50 | $35.13 | $35.13 | $39.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.53 / $26.53 / $66.45
| Professional | TC | $16.53 | $26.53 | $66.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.43 / $29.29 / $61.39
| Professional | | $23.43 | $29.29 | $61.39 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.20 / $7.96 / $17.29
| Professional | 26 | $6.20 | $7.96 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.87 / $21.22 / $45.37
| Professional | TC | $16.87 | $21.22 | $45.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.03 / $33.03 / $81.59
| Facility | | $33.03 | $33.03 | $81.59 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.65 / $8.65 / $25.70
| Facility | 26 | $8.65 | $8.65 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.38 / $24.38 / $59.40
| Facility | TC | $24.38 | $24.38 | $59.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.53 / $41.64 / $74.63
| Professional | | $18.53 | $41.64 | $74.63 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.25 / $11.04 / $19.80
| Professional | 26 | $4.25 | $11.04 | $19.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.28 / $30.61 / $55.04
| Professional | TC | $14.28 | $30.61 | $55.04 |