- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.92 / $190.44 / $402.71
| Facility | | $62.92 | $190.44 | $402.71 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.41 / $10.19 / $20.87
| Facility | 26 | $8.41 | $10.19 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $37.11 / $172.72 / $266.00
| Facility | TC | $37.11 | $172.72 | $266.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.66 / $38.69 / $137.00
| Professional | | $27.66 | $38.69 | $137.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.28 / $13.15 / $44.00
| Professional | 26 | $9.28 | $13.15 | $44.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.96 / $23.85 / $90.40
| Professional | TC | $17.96 | $23.85 | $90.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.07 / $26.63 / $57.89
| Professional | | $23.07 | $26.63 | $57.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.85 / $12.47 / $18.05
| Professional | 26 | $7.85 | $12.47 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.45 / $24.67 / $34.63
| Professional | TC | $16.45 | $24.67 | $34.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.48 / $2,262.34 / $3,869.20
| Facility | | $47.48 | $2,262.34 | $3,869.20 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $47.48 / $1,502.93 / $2,570.40
| Facility | TC | $47.48 | $1,502.93 | $2,570.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.95 / $43.85 / $44.29
| Professional | | $39.95 | $43.85 | $44.29 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.07 / $14.09 / $24.79
| Professional | 26 | $12.07 | $14.09 | $24.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $86.33 / $115.30 / $153.69
| Facility | TC | $86.33 | $115.30 | $153.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.65 / $48.04 / $57.44
| Professional | | $32.65 | $48.04 | $57.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.40 / $16.85 / $21.25
| Professional | 26 | $10.40 | $16.85 | $21.25 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.25 / $30.77 / $36.24
| Professional | TC | $22.25 | $30.77 | $36.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.65 / $64.03 / $260.37
| Facility | | $37.65 | $64.03 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $11.95 / $11.95 / $11.95
| Facility | 26 | $11.95 | $11.95 | $11.95 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $26.10 / $26.10 / $26.10
| Facility | TC | $26.10 | $26.10 | $26.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.29 / $38.35 / $61.06
| Professional | | $24.29 | $38.35 | $61.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.54 / $13.15 / $20.66
| Professional | 26 | $7.54 | $13.15 | $20.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.78 / $24.84 / $41.15
| Professional | TC | $16.78 | $24.84 | $41.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.39 / $43.53 / $52.40
| Professional | | $33.39 | $43.53 | $52.40 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.39 / $13.68 / $21.58
| Professional | 26 | $11.39 | $13.68 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.67 / $33.11 / $47.12
| Professional | TC | $26.67 | $33.11 | $47.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.25 / $195.80 / $331.08
| Facility | | $81.25 | $195.80 | $331.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $58.18 / $58.18 / $58.18
| Facility | 26 | $58.18 | $58.18 | $58.18 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $115.15 / $258.67 / $422.21
| Facility | TC | $115.15 | $258.67 | $422.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.47 / $39.36 / $47.31
| Professional | | $33.47 | $39.36 | $47.31 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.26 / $12.47 / $18.00
| Professional | 26 | $11.26 | $12.47 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.28 / $28.27 / $40.10
| Professional | TC | $19.28 | $28.27 | $40.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.48 / $1,823.53 / $3,869.20
| Facility | | $47.48 | $1,823.53 | $3,869.20 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $84.71 / $956.19 / $2,047.25
| Facility | TC | $84.71 | $956.19 | $2,047.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.28 / $42.15 / $43.85
| Professional | | $34.28 | $42.15 | $43.85 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.94 / $13.77 / $24.79
| Professional | 26 | $10.94 | $13.77 | $24.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.44 / $174.45 / $415.33
| Facility | | $58.44 | $174.45 | $415.33 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.83 / $12.53 / $32.20
| Facility | 26 | $8.83 | $12.53 | $32.20 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $28.12 / $174.03 / $327.24
| Facility | TC | $28.12 | $174.03 | $327.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.66 / $40.00 / $129.19
| Professional | | $27.66 | $40.00 | $129.19 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.36 / $13.04 / $42.00
| Professional | 26 | $9.36 | $13.04 | $42.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.82 / $27.41 / $69.53
| Professional | TC | $18.82 | $27.41 | $69.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $31.75 / $54.46
| Professional | | $11.04 | $31.75 | $54.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.49 / $62.53 / $260.37
| Facility | | $29.49 | $62.53 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $11.95 / $11.95 / $11.95
| Facility | 26 | $11.95 | $11.95 | $11.95 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $26.10 / $26.10 / $26.10
| Facility | TC | $26.10 | $26.10 | $26.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.52 / $38.22 / $61.06
| Professional | | $24.52 | $38.22 | $61.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.77 / $13.21 / $20.66
| Professional | 26 | $7.77 | $13.21 | $20.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.79 / $24.75 / $40.26
| Professional | TC | $16.79 | $24.75 | $40.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $32.40 / $32.43
| Facility | | $32.40 | $32.40 | $32.43 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.29 / $10.29 / $12.00
| Facility | 26 | $10.29 | $10.29 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $20.43 / $22.12 / $22.12
| Facility | TC | $20.43 | $22.12 | $22.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.97 / $32.40 / $35.03
| Professional | | $31.97 | $32.40 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.03 / $10.29 / $12.00
| Professional | 26 | $10.03 | $10.29 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.43 / $22.12 / $24.36
| Professional | TC | $20.43 | $22.12 | $24.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.88 / $35.28 / $61.11
| Professional | | $27.88 | $35.28 | $61.11 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.89 / $12.31 / $21.58
| Professional | 26 | $9.89 | $12.31 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.57 / $23.09 / $40.75
| Professional | TC | $18.57 | $23.09 | $40.75 |