- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.35 / $212.42 / $382.07
| Facility | | $49.35 | $212.42 | $382.07 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.02 / $12.54 / $28.00
| Facility | 26 | $10.02 | $12.54 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $40.36 / $139.50 / $294.88
| Facility | TC | $40.36 | $139.50 | $294.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.51 / $51.22 / $157.00
| Professional | | $34.51 | $51.22 | $157.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.59 / $15.06 / $36.90
| Professional | 26 | $9.59 | $15.06 | $36.90 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.46 / $31.24 / $77.53
| Professional | TC | $23.46 | $31.24 | $77.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.60 / $31.22 / $72.40
| Professional | | $26.60 | $31.22 | $72.40 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.26 / $12.93 / $17.70
| Professional | 26 | $8.26 | $12.93 | $17.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.49 / $30.71 / $43.02
| Professional | TC | $20.49 | $30.71 | $43.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.92 / $665.92 / $665.92
| Facility | | $665.92 | $665.92 | $665.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.11 / $49.53 / $75.98
| Professional | | $38.11 | $49.53 | $75.98 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $110.17 / $110.17 / $110.17
| Professional | 26 | $110.17 | $110.17 | $110.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.58 / $5,000.00 / $77,850.02
| Facility | | $23.58 | $5,000.00 | $77,850.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $109.63 / $146.40 / $195.16
| Facility | TC | $109.63 | $146.40 | $195.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.36 / $55.08 / $76.00
| Professional | | $38.36 | $55.08 | $76.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.72 / $17.38 / $24.81
| Professional | 26 | $10.72 | $17.38 | $24.81 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $27.66 / $37.65 / $51.20
| Professional | TC | $27.66 | $37.65 | $51.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.20 / $77.45 / $215.83
| Facility | | $36.20 | $77.45 | $215.83 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.30 / $12.30 / $12.30
| Facility | 26 | $12.30 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $32.44 / $32.44 / $32.44
| Facility | TC | $32.44 | $32.44 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.78 / $44.23 / $72.39
| Professional | | $28.78 | $44.23 | $72.39 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.19 / $13.29 / $21.36
| Professional | 26 | $8.19 | $13.29 | $21.36 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.85 / $30.86 / $50.42
| Professional | TC | $19.85 | $30.86 | $50.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.47 / $51.36 / $61.86
| Professional | | $42.47 | $51.36 | $61.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.76 / $14.15 / $22.26
| Professional | 26 | $11.76 | $14.15 | $22.26 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.13 / $41.18 / $58.61
| Professional | TC | $33.13 | $41.18 | $58.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.29 / $182.33 / $318.81
| Facility | | $97.29 | $182.33 | $318.81 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $147.96 / $233.91 / $389.87
| Facility | TC | $147.96 | $233.91 | $389.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.96 / $47.32 / $56.38
| Professional | | $37.96 | $47.32 | $56.38 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.75 / $12.93 / $17.76
| Professional | 26 | $11.75 | $12.93 | $17.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.85 / $41.54 / $49.86
| Professional | TC | $36.85 | $41.54 | $49.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.92 / $665.92 / $843.66
| Facility | | $665.92 | $665.92 | $843.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.68 / $49.53 / $49.53
| Professional | | $43.68 | $49.53 | $49.53 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $110.17 / $110.17 / $110.17
| Professional | 26 | $110.17 | $110.17 | $110.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.26 / $187.85 / $406.45
| Facility | | $50.26 | $187.85 | $406.45 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.65 / $13.54 / $31.27
| Facility | 26 | $9.65 | $13.54 | $31.27 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $30.72 / $129.18 / $462.99
| Facility | TC | $30.72 | $129.18 | $462.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.53 / $51.22 / $118.47
| Professional | | $34.53 | $51.22 | $118.47 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.93 / $14.64 / $31.80
| Professional | 26 | $9.93 | $14.64 | $31.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.85 / $35.08 / $71.11
| Professional | TC | $24.85 | $35.08 | $71.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.21 / $141.08 / $195.96
| Facility | | $137.21 | $141.08 | $195.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $37.86 / $66.63
| Professional | | $10.85 | $37.86 | $66.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.60 / $74.02 / $260.37
| Facility | | $34.60 | $74.02 | $260.37 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.17 / $12.30 / $12.30
| Facility | 26 | $7.17 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $16.23 / $32.44 / $32.44
| Facility | TC | $16.23 | $32.44 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.78 / $43.84 / $72.01
| Professional | | $28.78 | $43.84 | $72.01 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.36 / $13.15 / $21.78
| Professional | 26 | $8.36 | $13.15 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.72 / $30.97 / $50.05
| Professional | TC | $20.72 | $30.97 | $50.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $38.11 / $38.11
| Facility | | $36.29 | $38.11 | $38.11 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.61 / $10.61 / $12.00
| Facility | 26 | $10.61 | $10.61 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.30 / $27.50 / $27.50
| Facility | TC | $24.30 | $27.50 | $27.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $38.11 / $41.29
| Professional | | $36.29 | $38.11 | $41.29 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.35 / $10.61 / $12.00
| Professional | 26 | $10.35 | $10.61 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.30 / $27.50 / $30.28
| Professional | TC | $24.30 | $27.50 | $30.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.53 / $206.53 / $206.53
| Facility | | $206.53 | $206.53 | $206.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.74 / $40.36 / $69.78
| Professional | | $31.74 | $40.36 | $69.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.11 / $12.45 / $21.22
| Professional | 26 | $10.11 | $12.45 | $21.22 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.32 / $29.00 / $47.95
| Professional | TC | $22.32 | $29.00 | $47.95 |