- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.70 / $223.74 / $584.26
| Facility | | $54.70 | $223.74 | $584.26 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.60 / $11.47 / $21.00
| Facility | 26 | $7.60 | $11.47 | $21.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $38.29 / $185.09 / $415.34
| Facility | TC | $38.29 | $185.09 | $415.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.17 / $43.06 / $128.12
| Professional | | $14.17 | $43.06 | $128.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.28 / $13.48 / $42.45
| Professional | 26 | $7.28 | $13.48 | $42.45 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $34.83 / $73.45 / $121.31
| Professional | 50 | $34.83 | $73.45 | $121.31 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.76 / $15.91 / $20.45
| Professional | 52 | $12.76 | $15.91 | $20.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.33 / $34.61 / $98.56
| Professional | TC | $21.33 | $34.61 | $98.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.25 / $27.73 / $58.20
| Professional | | $24.25 | $27.73 | $58.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.11 / $8.36 / $13.30
| Professional | 26 | $6.11 | $8.36 | $13.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $37.77 / $38.02 / $85.78
| Professional | 50 | $37.77 | $38.02 | $85.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.35 / $27.53 / $38.58
| Professional | TC | $18.35 | $27.53 | $38.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.77 / $83.30 / $979.59
| Facility | | $38.77 | $83.30 | $979.59 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $38.77 / $82.30 / $1,978.28
| Facility | TC | $38.77 | $82.30 | $1,978.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.51 / $38.11 / $46.89
| Professional | | $34.51 | $38.11 | $46.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.35 / $12.42 / $119.99
| Professional | 26 | $9.35 | $12.42 | $119.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.06 / $5,000.00 / $77,850.02
| Facility | | $92.06 | $5,000.00 | $77,850.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $92.06 / $122.93 / $163.87
| Facility | TC | $92.06 | $122.93 | $163.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.40 / $47.33 / $63.58
| Professional | | $38.40 | $47.33 | $63.58 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.58 / $13.04 / $20.14
| Professional | 26 | $9.58 | $13.04 | $20.14 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $76.80 / $94.68 / $127.20
| Professional | 50 | $76.80 | $94.68 | $127.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.18 / $33.94 / $43.45
| Professional | TC | $28.18 | $33.94 | $43.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.28 / $71.16 / $215.83
| Facility | | $33.28 | $71.16 | $215.83 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.25 / $9.25 / $9.25
| Facility | 26 | $9.25 | $9.25 | $9.25 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.46 / $29.46 / $29.46
| Facility | TC | $29.46 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.00 / $38.13 / $62.81
| Professional | | $25.00 | $38.13 | $62.81 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.20 / $10.13 / $16.02
| Professional | 26 | $6.20 | $10.13 | $16.02 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.56 / $46.03 / $46.03
| Professional | 50 | $40.56 | $46.03 | $46.03 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.75 / $27.87 / $47.47
| Professional | TC | $18.75 | $27.87 | $47.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.90 / $44.09 / $53.23
| Professional | | $35.90 | $44.09 | $53.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.83 / $10.58 / $16.68
| Professional | 26 | $8.83 | $10.58 | $16.68 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.71 / $36.90 / $52.51
| Professional | TC | $29.71 | $36.90 | $52.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.18 / $172.33 / $282.49
| Facility | | $87.18 | $172.33 | $282.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $148.60 / $273.74 / $409.73
| Facility | TC | $148.60 | $273.74 | $409.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $40.94 / $48.41
| Professional | | $33.11 | $40.94 | $48.41 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.81 / $10.13 / $17.62
| Professional | 26 | $8.81 | $10.13 | $17.62 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $78.65 / $84.06 / $94.70
| Professional | 50 | $78.65 | $84.06 | $94.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.67 / $40.14 / $74.81
| Professional | TC | $29.67 | $40.14 | $74.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.10 / $84.71 / $182.79
| Facility | | $59.10 | $84.71 | $182.79 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $58.02 / $80.44 / $186.14
| Facility | TC | $58.02 | $80.44 | $186.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.51 / $37.97 / $43.14
| Professional | | $34.51 | $37.97 | $43.14 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.02 / $10.92 / $93.81
| Professional | 26 | $9.02 | $10.92 | $93.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.60 / $214.00 / $535.67
| Facility | | $58.60 | $214.00 | $535.67 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $10.50 / $25.28
| Facility | 26 | $7.24 | $10.50 | $25.28 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.96 / $173.01 / $576.20
| Facility | TC | $29.96 | $173.01 | $576.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.86 / $42.75 / $121.00
| Professional | | $13.86 | $42.75 | $121.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.33 / $12.01 / $37.14
| Professional | 26 | $7.33 | $12.01 | $37.14 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $32.02 / $64.40 / $119.52
| Professional | 50 | $32.02 | $64.40 | $119.52 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.12 / $16.86 / $32.61
| Professional | 52 | $14.12 | $16.86 | $32.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.82 / $34.57 / $79.59
| Professional | TC | $22.82 | $34.57 | $79.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.21 / $141.08 / $196.26
| Facility | | $137.21 | $141.08 | $196.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $34.61 / $58.07
| Professional | | $8.55 | $34.61 | $58.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.78 / $66.28 / $260.37
| Facility | | $31.78 | $66.28 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.76 / $9.25 / $9.25
| Facility | 26 | $5.76 | $9.25 | $9.25 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $13.86 / $29.46 / $29.46
| Facility | TC | $13.86 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.02 / $37.46 / $62.40
| Professional | | $25.02 | $37.46 | $62.40 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.27 / $10.13 / $16.36
| Professional | 26 | $6.27 | $10.13 | $16.36 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.56 / $46.03 / $49.02
| Professional | 50 | $40.56 | $46.03 | $49.02 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.10 / $27.52 / $45.44
| Professional | TC | $19.10 | $27.52 | $45.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.74 / $32.93 / $32.93
| Facility | | $29.74 | $32.93 | $32.93 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.96 / $7.96 / $9.50
| Facility | 26 | $7.96 | $7.96 | $9.50 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.23 / $24.97 / $24.97
| Facility | TC | $20.23 | $24.97 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.74 / $32.93 / $35.75
| Professional | | $29.74 | $32.93 | $35.75 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.75 / $7.98 / $9.50
| Professional | 26 | $7.75 | $7.98 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.23 / $24.97 / $27.49
| Professional | TC | $20.23 | $24.97 | $27.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.53 / $206.53 / $206.53
| Facility | | $206.53 | $206.53 | $206.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.84 / $34.86 / $59.01
| Professional | | $25.84 | $34.86 | $59.01 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.61 / $9.25 / $15.70
| Professional | 26 | $7.61 | $9.25 | $15.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.55 / $26.30 / $43.47
| Professional | TC | $19.55 | $26.30 | $43.47 |