- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.06 / $219.69 / $482.34
| Facility | | $52.06 | $219.69 | $482.34 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.14 / $10.19 / $17.55
| Facility | 26 | $8.14 | $10.19 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $37.38 / $188.85 / $315.14
| Facility | TC | $37.38 | $188.85 | $315.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $24.91 / $104.00
| Professional | | $17.78 | $24.91 | $104.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.79 / $9.58 / $36.72
| Professional | 26 | $7.79 | $9.58 | $36.72 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $9.74 / $14.80 / $32.35
| Professional | TC | $9.74 | $14.80 | $32.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.09 / $19.32 / $24.67
| Professional | | $17.09 | $19.32 | $24.67 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.58 / $9.03 / $14.40
| Professional | 26 | $6.58 | $9.03 | $14.40 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $13.25 / $13.25 / $13.51
| Professional | TC | $13.25 | $13.25 | $13.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,856.21 / $1,856.21 / $1,856.21
| Facility | | $1,856.21 | $1,856.21 | $1,856.21 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $45.46 / $96.49 / $1,018.85
| Facility | TC | $45.46 | $96.49 | $1,018.85 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.11 / $11.84 / $95.99
| Professional | 26 | $10.11 | $11.84 | $95.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.01 / $5,000.00 / $77,850.02
| Facility | | $60.01 | $5,000.00 | $77,850.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $47.14 / $62.95 / $83.92
| Facility | TC | $47.14 | $62.95 | $83.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.24 / $34.00 / $41.03
| Professional | | $25.24 | $34.00 | $41.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $14.12 / $17.30
| Professional | 26 | $8.71 | $14.12 | $17.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.53 / $17.80 / $24.72
| Professional | TC | $16.53 | $17.80 | $24.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.24 / $47.35 / $260.37
| Facility | | $24.24 | $47.35 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.67 / $9.67 / $9.67
| Facility | 26 | $9.67 | $9.67 | $9.67 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.39 / $19.39 / $19.39
| Facility | TC | $19.39 | $19.39 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $25.95 / $45.59
| Professional | | $17.87 | $25.95 | $45.59 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.28 / $11.01 / $17.36
| Professional | 26 | $6.28 | $11.01 | $17.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $9.89 / $14.96 / $28.05
| Professional | TC | $9.89 | $14.96 | $28.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.55 / $33.61 / $40.54
| Professional | | $21.55 | $33.61 | $40.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.56 / $11.48 / $18.05
| Professional | 26 | $9.56 | $11.48 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.82 / $24.59 / $34.96
| Professional | TC | $19.82 | $24.59 | $34.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.07 / $181.12 / $282.49
| Facility | | $62.07 | $181.12 | $282.49 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $121.97 / $272.58 / $380.13
| Facility | TC | $121.97 | $272.58 | $380.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.81 / $28.46 / $31.10
| Professional | | $23.81 | $28.46 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.18 / $10.41 / $15.72
| Professional | 26 | $9.18 | $10.41 | $15.72 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.82 / $24.82 / $24.82
| Professional | TC | $24.82 | $24.82 | $24.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,856.21 / $1,856.21 / $2,351.67
| Facility | | $1,856.21 | $1,856.21 | $2,351.67 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $69.30 / $94.14 / $214.30
| Facility | TC | $69.30 | $94.14 | $214.30 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.18 / $11.57 / $95.99
| Professional | 26 | $9.18 | $11.57 | $95.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.14 / $205.49 / $447.53
| Facility | | $44.14 | $205.49 | $447.53 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.83 / $11.01 / $25.42
| Facility | 26 | $7.83 | $11.01 | $25.42 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.91 / $191.20 / $359.98
| Facility | TC | $20.91 | $191.20 | $359.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.25 / $29.39 / $83.20
| Professional | | $19.25 | $29.39 | $83.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.84 / $9.78 / $32.92
| Professional | 26 | $7.84 | $9.78 | $32.92 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $11.15 / $17.95 / $37.29
| Professional | TC | $11.15 | $17.95 | $37.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,003.93 / $1,704.95 / $2,120.98
| Facility | | $1,003.93 | $1,704.95 | $2,120.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $24.20 / $41.75
| Professional | | $9.83 | $24.20 | $41.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.92 / $45.97 / $260.37
| Facility | | $21.92 | $45.97 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.67 / $9.67 / $9.67
| Facility | 26 | $9.67 | $9.67 | $9.67 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.39 / $19.39 / $19.39
| Facility | TC | $19.39 | $19.39 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.51 / $25.78 / $45.20
| Professional | | $18.51 | $25.78 | $45.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.53 / $11.10 / $17.36
| Professional | 26 | $6.53 | $11.10 | $17.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $10.19 / $14.96 / $27.21
| Professional | TC | $10.19 | $14.96 | $27.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.22 / $25.05 / $25.05
| Facility | | $21.22 | $25.05 | $25.05 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.61 / $8.61 / $10.07
| Facility | 26 | $8.61 | $8.61 | $10.07 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $11.15 / $16.43 / $16.43
| Facility | TC | $11.15 | $16.43 | $16.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.22 / $25.05 / $27.04
| Professional | | $21.22 | $25.05 | $27.04 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.40 / $8.61 / $10.07
| Professional | 26 | $8.40 | $8.61 | $10.07 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $11.15 / $16.43 / $18.10
| Professional | TC | $11.15 | $16.43 | $18.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.48 / $26.16 / $47.10
| Professional | | $18.48 | $26.16 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.28 / $10.26 / $16.98
| Professional | 26 | $8.28 | $10.26 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $11.37 / $16.60 / $28.53
| Professional | TC | $11.37 | $16.60 | $28.53 |