- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.88 / $131.38 / $850.08
| Facility | | $71.88 | $131.38 | $850.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $31.17 / $54.11 / $148.02
| Facility | 26 | $31.17 | $54.11 | $148.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $115.05 / $299.97 / $963.84
| Facility | TC | $115.05 | $299.97 | $963.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.00 / $132.68 / $623.46
| Professional | | $56.00 | $132.68 | $623.46 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $29.69 / $89.74 / $750.42
| Professional | 26 | $29.69 | $89.74 | $750.42 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $21.40 / $28.00 / $58.15
| Professional | 52 | $21.40 | $28.00 | $58.15 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.31 / $77.50 / $609.98
| Professional | TC | $26.31 | $77.50 | $609.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.71 / $57.96 / $105.98
| Professional | | $31.71 | $57.96 | $105.98 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $17.07 / $52.37 / $68.30
| Professional | 26 | $17.07 | $52.37 | $68.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.78 / $16.04 / $32.08
| Professional | TC | $15.78 | $16.04 | $32.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.61 / $79.44 / $133.16
| Professional | | $72.61 | $79.44 | $133.16 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $37.69 / $40.93 / $66.08
| Professional | 26 | $37.69 | $40.93 | $66.08 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.49 / $36.70 / $46.93
| Professional | TC | $36.49 | $36.70 | $46.93 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $213.93 / $297.75 / $420.99
| Facility | TC | $213.93 | $297.75 | $420.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.53 / $112.55 / $156.46
| Professional | | $73.53 | $112.55 | $156.46 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $37.90 / $57.24 / $93.66
| Professional | 26 | $37.90 | $57.24 | $93.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $35.61 / $51.25 / $89.09
| Professional | TC | $35.61 | $51.25 | $89.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.28 / $58.28 / $146.00
| Facility | | $58.28 | $58.28 | $146.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $78.29 / $78.29 / $78.29
| Facility | 26 | $78.29 | $78.29 | $78.29 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $67.70 / $67.70 / $67.70
| Facility | TC | $67.70 | $67.70 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $56.12 / $124.61
| Professional | | $33.11 | $56.12 | $124.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $17.07 / $23.01 / $53.69
| Professional | 26 | $17.07 | $23.01 | $53.69 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.98 / $32.74 / $72.06
| Professional | TC | $15.98 | $32.74 | $72.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.97 / $103.23 / $136.28
| Professional | | $44.97 | $103.23 | $136.28 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.15 / $51.89 / $107.99
| Professional | 26 | $22.15 | $51.89 | $107.99 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.81 / $53.08 / $70.56
| Professional | TC | $22.81 | $53.08 | $70.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.90 / $136.41 / $255.49
| Facility | | $131.90 | $136.41 | $255.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $148.72 / $159.65 / $256.20
| Facility | TC | $148.72 | $159.65 | $256.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.33 / $98.17 / $112.15
| Professional | | $74.33 | $98.17 | $112.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $37.79 / $43.93 / $60.61
| Professional | 26 | $37.79 | $43.93 | $60.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.39 / $44.86 / $59.96
| Professional | TC | $36.39 | $44.86 | $59.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.61 / $79.44 / $133.16
| Professional | | $72.61 | $79.44 | $133.16 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $37.69 / $40.33 / $76.89
| Professional | 26 | $37.69 | $40.33 | $76.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.49 / $36.70 / $46.93
| Professional | TC | $36.49 | $36.70 | $46.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.88 / $130.49 / $824.00
| Facility | | $71.88 | $130.49 | $824.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $31.17 / $54.11 / $148.02
| Facility | 26 | $31.17 | $54.11 | $148.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $53.25 / $297.66 / $950.27
| Facility | TC | $53.25 | $297.66 | $950.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.00 / $100.02 / $420.00
| Professional | | $56.00 | $100.02 | $420.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $31.07 / $77.68 / $718.20
| Professional | 26 | $31.07 | $77.68 | $718.20 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $26.93 / $32.47 / $141.88
| Professional | 52 | $26.93 | $32.47 | $141.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.30 / $50.56 / $522.23
| Professional | TC | $26.30 | $50.56 | $522.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.24 / $61.73 / $127.45
| Professional | | $32.24 | $61.73 | $127.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.28 / $58.28 / $146.00
| Facility | | $58.28 | $58.28 | $146.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $78.29 / $78.29 / $78.29
| Facility | 26 | $78.29 | $78.29 | $78.29 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $67.70 / $67.70 / $67.70
| Facility | TC | $67.70 | $67.70 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $64.59 / $124.61
| Professional | | $33.11 | $64.59 | $124.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $17.07 / $32.90 / $55.60
| Professional | 26 | $17.07 | $32.90 | $55.60 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.04 / $33.68 / $75.94
| Professional | TC | $16.04 | $33.68 | $75.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.86 / $70.08 / $113.54
| Professional | | $67.86 | $70.08 | $113.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $35.67 / $36.56 / $48.50
| Professional | 26 | $35.67 | $36.56 | $48.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $32.19 / $33.53 / $65.04
| Professional | TC | $32.19 | $33.53 | $65.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.10 / $69.65 / $129.83
| Professional | | $43.10 | $69.65 | $129.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.21 / $38.57 / $63.11
| Professional | 26 | $21.21 | $38.57 | $63.11 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.07 / $32.09 / $62.07
| Professional | TC | $18.07 | $32.09 | $62.07 |