- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.23 / $230.03 / $457.20
| Facility | | $30.23 | $230.03 | $457.20 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $5.61 / $7.29 / $11.56
| Facility | 26 | $5.61 | $7.29 | $11.56 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $21.57 / $41.27 / $344.27
| Facility | TC | $21.57 | $41.27 | $344.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.00 / $33.50 / $70.02
| Professional | | $24.00 | $33.50 | $70.02 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.09 / $9.03 / $20.56
| Professional | 26 | $6.09 | $9.03 | $20.56 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.89 / $22.88 / $40.58
| Professional | TC | $17.89 | $22.88 | $40.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.33 / $26.66 / $33.68
| Professional | | $23.33 | $26.66 | $33.68 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.61 / $11.65 / $16.12
| Professional | 26 | $6.61 | $11.65 | $16.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.08 / $282.44 / $478.58
| Facility | | $112.08 | $282.44 | $478.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $26.64 / $36.97
| Professional | | $7.14 | $26.64 | $36.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.33 / $57.79 / $307.20
| Facility | | $33.33 | $57.79 | $307.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.00 / $53.00 / $66.66
| Professional | | $35.00 | $53.00 | $66.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.24 / $34.68 / $111.36
| Facility | | $33.24 | $34.68 | $111.36 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.17 / $25.06 / $26.74
| Facility | TC | $24.17 | $25.06 | $26.74 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.18 / $8.18 / $8.89
| Professional | 26 | $8.18 | $8.18 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.50 / $115.20 / $374.98
| Facility | | $49.50 | $115.20 | $374.98 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.01 / $10.01 / $10.01
| Facility | 26 | $10.01 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.58 / $30.58 / $30.58
| Facility | TC | $30.58 | $30.58 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.14 / $40.39 / $70.27
| Professional | | $28.14 | $40.39 | $70.27 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.34 / $12.11 / $22.97
| Professional | 26 | $7.34 | $12.11 | $22.97 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $27.67 / $50.12
| Professional | TC | $19.50 | $27.67 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.54 / $359.91 / $359.91
| Facility | | $76.54 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $31.90 / $100.00 / $100.00
| Facility | 26 | $31.90 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $57.91 / $149.66 / $149.66
| Facility | TC | $57.91 | $149.66 | $149.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.47 / $230.47 / $303.45
| Professional | | $230.47 | $230.47 | $303.45 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $77.59 / $77.59 / $77.59
| Professional | 26 | $77.59 | $77.59 | $77.59 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $214.00 / $214.00 / $233.18
| Professional | TC | $214.00 | $214.00 | $233.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.90 / $41.60 / $66.25
| Facility | | $28.90 | $41.60 | $66.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $52.40 / $106.08
| Professional | | $15.37 | $52.40 | $106.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.93 / $13.88 / $33.64
| Professional | 26 | $10.93 | $13.88 | $33.64 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $34.47 / $43.76 / $106.08
| Professional | TC | $34.47 | $43.76 | $106.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $36.65 / $68.00
| Professional | | $10.21 | $36.65 | $68.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.45 / $42.89 / $90.27
| Facility | | $29.45 | $42.89 | $90.27 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.01 / $10.01 / $10.01
| Facility | 26 | $10.01 | $10.01 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.58 / $30.58 / $30.58
| Facility | TC | $30.58 | $30.58 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.19 / $44.44 / $94.42
| Professional | | $29.19 | $44.44 | $94.42 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.34 / $11.43 / $22.45
| Professional | 26 | $7.34 | $11.43 | $22.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.50 / $27.51 / $48.37
| Professional | TC | $19.50 | $27.51 | $48.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.74 / $168.16 / $221.82
| Facility | | $161.74 | $168.16 | $221.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.68 / $36.00 / $59.55
| Professional | | $30.68 | $36.00 | $59.55 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.94 / $11.31 / $19.34
| Professional | 26 | $8.94 | $11.31 | $19.34 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.50 / $24.79 / $40.65
| Professional | TC | $20.50 | $24.79 | $40.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.81 / $33.33 / $47.41
| Professional | | $29.81 | $33.33 | $47.41 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.18 / $8.26 / $11.41
| Professional | 26 | $7.18 | $8.26 | $11.41 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.63 / $25.06 / $36.00
| Professional | TC | $22.63 | $25.06 | $36.00 |