- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.39 / $48.95 / $137.19
| Facility | | $19.39 | $48.95 | $137.19 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.84 / $17.35 / $34.29
| Facility | 26 | $8.84 | $17.35 | $34.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $13.61 / $36.00
| Professional | | $10.79 | $13.61 | $36.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.61 / $8.84 / $24.54
| Professional | 26 | $7.61 | $8.84 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.04 / $11.36 / $12.27
| Professional | 50 | $11.04 | $11.36 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.44 / $4.53 / $12.34
| Professional | TC | $3.44 | $4.53 | $12.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.79 / $84.33 / $111.48
| Facility | | $25.79 | $84.33 | $111.48 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $17.60 / $100.00 / $100.00
| Facility | 26 | $17.60 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.71 / $27.98 / $1,428.44
| Professional | | $15.71 | $27.98 | $1,428.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.63 / $18.21 / $1,274.28
| Professional | 26 | $10.63 | $18.21 | $1,274.28 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $15.26 / $17.03 / $26.16
| Professional | 50 | $15.26 | $17.03 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $4.40 / $8.71 / $988.10
| Professional | TC | $4.40 | $8.71 | $988.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.78 / $76.53 / $122.76
| Facility | | $35.78 | $76.53 | $122.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $22.73 / $35.22
| Professional | | $14.40 | $22.73 | $35.22 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.80 / $15.21 / $23.90
| Professional | 26 | $9.80 | $15.21 | $23.90 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $4.53 / $7.51 / $11.99
| Professional | TC | $4.53 | $7.51 | $11.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.68 / $27.18 / $49.42
| Facility | | $14.68 | $27.18 | $49.42 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.75 / $18.95 / $34.24
| Facility | 26 | $9.75 | $18.95 | $34.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.95 / $27.18 / $37.82
| Professional | | $13.95 | $27.18 | $37.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.38 / $18.57 / $24.65
| Professional | 26 | $9.38 | $18.57 | $24.65 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $4.90 / $9.13 / $14.08
| Professional | TC | $4.90 | $9.13 | $14.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.46 / $4.93 / $7.40
| Professional | | $2.46 | $4.93 | $7.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $22.13 / $28.81
| Facility | | $18.68 | $22.13 | $28.81 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.64 / $15.10 / $18.76
| Facility | 26 | $12.64 | $15.10 | $18.76 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.11 / $14.81 / $19.32
| Professional | 26 | $10.11 | $14.81 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $5.03 / $7.37 / $10.35
| Professional | TC | $5.03 | $7.37 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.15 / $15.40 / $15.54
| Facility | | $4.15 | $15.40 | $15.54 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.42 / $10.42 / $10.51
| Facility | 26 | $10.42 | $10.42 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.53 / $25.92 / $31.87
| Professional | | $17.53 | $25.92 | $31.87 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.86 / $17.53 / $21.56
| Professional | 26 | $11.86 | $17.53 | $21.56 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $5.37 / $8.39 / $10.31
| Professional | TC | $5.37 | $8.39 | $10.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.13 / $82.27 / $160.47
| Facility | | $54.13 | $82.27 | $160.47 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $47.86 / $47.86 / $58.88
| Facility | 26 | $47.86 | $47.86 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.71 / $22.72 / $31.91
| Professional | | $15.71 | $22.72 | $31.91 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.63 / $15.30 / $20.66
| Professional | 26 | $10.63 | $15.30 | $20.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $5.08 / $7.32 / $10.02
| Professional | TC | $5.08 | $7.32 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.63 / $90.86 / $142.79
| Facility | | $69.63 | $90.86 | $142.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $14.96 / $32.29
| Professional | | $12.27 | $14.96 | $32.29 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.30 / $9.59 / $21.84
| Professional | 26 | $8.30 | $9.59 | $21.84 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.73 / $4.37 / $10.46
| Professional | TC | $3.73 | $4.37 | $10.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $12.38 / $12.38
| Professional | | $12.38 | $12.38 | $12.38 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.16 / $8.16 / $8.16
| Professional | 26 | $8.16 | $8.16 | $8.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $4.22 / $4.22 / $4.22
| Professional | TC | $4.22 | $4.22 | $4.22 |