- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $194.98 / $426.58
| Facility | | $50.12 | $194.98 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $13.18 / $25.12
| Facility | 26 | $6.61 | $13.18 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $21.38 / $93.33 / $436.52
| Facility | TC | $21.38 | $93.33 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $38.02 / $131.83
| Professional | | $16.98 | $38.02 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $16.22 / $44.67
| Professional | 26 | $6.92 | $16.22 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.90 / $109.65 / $275.42
| Professional | 50 | $38.90 | $109.65 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $17.38 / $34.67 / $204.17
| Professional | 52 | $17.38 | $34.67 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.85 / $26.92 / $85.11
| Professional | TC | $15.85 | $26.92 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $21.38 / $26.92
| Professional | | $16.60 | $21.38 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.25 / $8.13 / $12.30
| Professional | 26 | $5.25 | $8.13 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $28.84 / $33.11 / $40.74
| Professional | 50 | $28.84 | $33.11 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $13.49 / $16.22 / $22.39
| Professional | TC | $13.49 | $16.22 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.20 / $123.03 / $57,543.99
| Facility | | $112.20 | $123.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $75.86 / $107.15 / $154.88
| Facility | TC | $75.86 | $107.15 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $32.36 / $58.88
| Professional | | $27.54 | $32.36 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.41 / $9.77 / $18.62
| Professional | 26 | $7.41 | $9.77 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $54.95 / $64.57 / $117.49
| Professional | 50 | $54.95 | $64.57 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.95 / $22.91 / $40.74
| Professional | TC | $19.95 | $22.91 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $57.54 / $208.93
| Facility | | $26.92 | $57.54 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.82 / $8.51 / $12.02
| Facility | 26 | $1.82 | $8.51 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $4.90 / $22.91 / $32.36
| Facility | TC | $4.90 | $22.91 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $33.11 / $56.23
| Professional | | $21.88 | $33.11 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.75 / $9.33 / $15.14
| Professional | 26 | $5.75 | $9.33 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.49 / $23.99 / $40.74
| Professional | TC | $15.49 | $23.99 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $38.90 / $48.98
| Professional | | $30.20 | $38.90 | $48.98 |
- 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
- $22.91 / $28.84 / $36.31
| Professional | TC | $22.91 | $28.84 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $28.84 / $28.84
| Facility | | $28.84 | $28.84 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.84 / $28.84 / $28.84
| Facility | TC | $28.84 | $28.84 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $31.62 / $58.88
| Professional | | $20.42 | $31.62 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.46 / $9.12 / $16.60
| Professional | 26 | $6.46 | $9.12 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $13.80 / $22.91 / $42.66
| Professional | TC | $13.80 | $22.91 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $186.21 / $302.00
| Facility | | $95.50 | $186.21 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $134.90 / $162.18 / $524.81
| Facility | TC | $134.90 | $162.18 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $33.88 / $36.31
| Professional | | $30.90 | $33.88 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $9.12 / $18.20
| Professional | 26 | $7.59 | $9.12 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $69.18 / $72.44 / $79.43
| Professional | 50 | $69.18 | $72.44 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $30.90 / $36.31
| Professional | TC | $25.70 | $30.90 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $426.58 / $537.03
| Facility | | $426.58 | $426.58 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $190.55 / $407.38
| Facility | | $43.65 | $190.55 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $11.48 / $25.12
| Facility | 26 | $6.61 | $11.48 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $23.44 / $83.18 / $407.38
| Facility | TC | $23.44 | $83.18 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $37.15 / $87.10
| Professional | | $20.89 | $37.15 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.31 / $11.48 / $31.62
| Professional | 26 | $6.31 | $11.48 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.90 / $109.65 / $275.42
| Professional | 50 | $38.90 | $109.65 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $18.20 / $33.11 / $158.49
| Professional | 52 | $18.20 | $33.11 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.98 / $26.30 / $52.48
| Professional | TC | $16.98 | $26.30 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $141.25 / $194.98
| Facility | | $134.90 | $141.25 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $37.15 / $54.95
| Professional | | $16.98 | $37.15 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $19.05 / $29.51
| Facility | | $9.77 | $19.05 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $8.51 / $8.51
| Facility | 26 | $7.24 | $8.51 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $19.50 / $19.95
| Facility | TC | $19.50 | $19.50 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $29.51
| Professional | | $11.22 | $18.62 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $7.41 / $8.51
| Professional | 26 | $7.08 | $7.41 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $19.50 / $21.88
| Professional | TC | $19.50 | $19.50 | $21.88 |
- 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
- $22.39 / $28.18 / $47.86
| Professional | | $22.39 | $28.18 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.03 / $8.13 / $14.13
| Professional | 26 | $6.03 | $8.13 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.49 / $20.42 / $34.67
| Professional | TC | $15.49 | $20.42 | $34.67 |