- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $234.42 / $562.34
| Facility | | $70.79 | $234.42 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $14.45 / $27.54
| Facility | 26 | $7.24 | $14.45 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $33.11 / $177.83 / $562.34
| Facility | TC | $33.11 | $177.83 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $42.66 / $125.89
| Professional | | $9.12 | $42.66 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $14.45 / $47.86
| Professional | 26 | $7.59 | $14.45 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $25.12 / $89.13 / $218.78
| Professional | 50 | $25.12 | $89.13 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $20.42 / $61.66 / $208.93
| Professional | 52 | $20.42 | $61.66 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $38.02 / $95.50
| Professional | TC | $21.88 | $38.02 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $27.54 / $45.71
| Professional | | $21.88 | $27.54 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.75 / $8.32 / $13.18
| Professional | 26 | $5.75 | $8.32 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $33.88 / $41.69 / $64.57
| Professional | 50 | $33.88 | $41.69 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.38 / $23.99 / $36.31
| Professional | TC | $17.38 | $23.99 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $5,011.87 / $57,543.99
| Facility | | $91.20 | $5,011.87 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $91.20 / $128.82 / $186.21
| Facility | TC | $91.20 | $128.82 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $40.74 / $63.10
| Professional | | $38.02 | $40.74 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $10.72 / $19.95
| Professional | 26 | $9.55 | $10.72 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $75.86 / $81.28 / $125.89
| Professional | 50 | $75.86 | $81.28 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $30.90 / $43.65
| Professional | TC | $26.92 | $30.90 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $74.13 / $208.93
| Facility | | $33.11 | $74.13 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.95 / $9.12 / $13.18
| Facility | 26 | $1.95 | $9.12 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.03 / $28.18 / $40.74
| Facility | TC | $6.03 | $28.18 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $38.02 / $64.57
| Professional | | $25.12 | $38.02 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.31 / $10.23 / $16.60
| Professional | 26 | $6.31 | $10.23 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.62 / $28.18 / $48.98
| Professional | TC | $18.62 | $28.18 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $46.77 / $58.88
| Professional | | $36.31 | $46.77 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.13 / $10.72 / $13.18
| Professional | 26 | $8.13 | $10.72 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $35.48 / $44.67
| Professional | TC | $28.18 | $35.48 | $44.67 |
- 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 / $36.31 / $69.18
| Professional | | $22.39 | $36.31 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.08 / $9.77 / $17.38
| Professional | 26 | $7.08 | $9.77 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.14 / $26.92 / $52.48
| Professional | TC | $15.14 | $26.92 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $177.83 / $302.00
| Facility | | $87.10 | $177.83 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $123.03 / $239.88 / $426.58
| Facility | TC | $123.03 | $239.88 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $40.74 / $47.86
| Professional | | $34.67 | $40.74 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.51 / $10.00 / $16.98
| Professional | 26 | $8.51 | $10.00 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $74.13 / $83.18 / $89.13
| Professional | 50 | $74.13 | $83.18 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $31.62 / $37.15 / $46.77
| Professional | TC | $31.62 | $37.15 | $46.77 |
- 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
- $34.67 / $42.66 / $60.26
| Professional | | $34.67 | $42.66 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.33 / $10.00 / $13.18
| Professional | 26 | $9.33 | $10.00 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $218.78 / $562.34
| Facility | | $66.07 | $218.78 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $14.13 / $29.51
| Facility | 26 | $7.24 | $14.13 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.62 / $165.96 / $588.84
| Facility | TC | $31.62 | $165.96 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $41.69 / $104.71
| Professional | | $10.96 | $41.69 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $12.02 / $37.15
| Professional | 26 | $7.24 | $12.02 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $28.18 / $89.13 / $213.80
| Professional | 50 | $28.18 | $89.13 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $20.42 / $44.67 / $208.93
| Professional | 52 | $20.42 | $44.67 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.38 / $33.11 / $70.79
| Professional | TC | $21.38 | $33.11 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $141.25 / $186.21
| Facility | | $138.04 | $141.25 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $38.90 / $66.07
| Professional | | $17.78 | $38.90 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $19.95 / $34.67
| Facility | | $13.18 | $19.95 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.94 / $7.94 / $9.55
| Facility | 26 | $7.94 | $7.94 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $20.42 / $25.12
| Facility | TC | $20.42 | $20.42 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $19.95 / $40.74
| Professional | | $13.18 | $19.95 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $7.94 / $9.55
| Professional | 26 | $7.76 | $7.94 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $24.55 / $27.54
| Professional | TC | $20.42 | $24.55 | $27.54 |
- 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 / $33.11 / $56.23
| Professional | | $25.70 | $33.11 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $8.71 / $15.14
| Professional | 26 | $6.61 | $8.71 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.20 / $24.55 / $42.66
| Professional | TC | $18.20 | $24.55 | $42.66 |