- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.63 / $292.82 / $593.33
| Facility | | $46.63 | $292.82 | $593.33 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $6.93 / $8.98 / $15.02
| Facility | 26 | $6.93 | $8.98 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $24.16 / $221.96 / $569.21
| Facility | TC | $24.16 | $221.96 | $569.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.36 / $41.02 / $100.10
| Professional | | $27.36 | $41.02 | $100.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.54 / $10.75 / $29.85
| Professional | 26 | $7.54 | $10.75 | $29.85 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.82 / $26.70 / $54.28
| Professional | TC | $18.82 | $26.70 | $54.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.73 / $31.27 / $52.58
| Professional | | $25.73 | $31.27 | $52.58 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.97 / $10.63 / $19.82
| Professional | 26 | $7.97 | $10.63 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.61 / $21.27 / $32.04
| Professional | TC | $18.61 | $21.27 | $32.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.54 / $190.75 / $340.79
| Facility | | $74.54 | $190.75 | $340.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $28.60 / $41.32
| Professional | | $8.78 | $28.60 | $41.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.27 / $162.88 / $443.31
| Facility | | $42.27 | $162.88 | $443.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.92 / $46.45 / $69.68
| Professional | | $34.92 | $46.45 | $69.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.65 / $38.40 / $82.73
| Facility | | $36.65 | $38.40 | $82.73 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $25.54 / $26.59 / $28.36
| Facility | TC | $25.54 | $26.59 | $28.36 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.07 / $10.59 / $19.14
| Professional | 26 | $10.07 | $10.59 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.30 / $114.00 / $281.97
| Facility | | $51.30 | $114.00 | $281.97 |
- 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
- $28.66 / $40.00 / $73.61
| Professional | | $28.66 | $40.00 | $73.61 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.85 / $12.32 / $22.47
| Professional | 26 | $8.85 | $12.32 | $22.47 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.43 / $28.66 / $51.66
| Professional | TC | $20.43 | $28.66 | $51.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.70 / $359.91 / $359.91
| Facility | | $79.70 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $25.22 / $100.00 / $100.00
| Facility | 26 | $25.22 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $61.48 / $158.84 / $158.84
| Facility | TC | $61.48 | $158.84 | $158.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $254.22 / $254.22 / $333.60
| Professional | | $254.22 | $254.22 | $333.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $90.81 / $90.81 / $120.00
| Professional | 26 | $90.81 | $90.81 | $120.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $195.00 / $195.00 / $247.28
| Professional | TC | $195.00 | $195.00 | $247.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.64 / $43.26 / $96.72
| Facility | | $31.64 | $43.26 | $96.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $50.04 / $93.60
| Professional | | $14.56 | $50.04 | $93.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $13.46 / $17.07 / $41.40
| Professional | 26 | $13.46 | $17.07 | $41.40 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.58 / $42.21 / $112.56
| Professional | TC | $36.58 | $42.21 | $112.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.15 / $108.31 / $624.00
| Facility | | $79.15 | $108.31 | $624.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $33.96 / $64.87
| Professional | | $11.51 | $33.96 | $64.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.66 / $43.60 / $91.30
| Facility | | $31.66 | $43.60 | $91.30 |
- 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
- $29.91 / $45.94 / $99.72
| Professional | | $29.91 | $45.94 | $99.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.00 / $12.14 / $21.78
| Professional | 26 | $9.00 | $12.14 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.21 / $28.12 / $51.04
| Professional | TC | $20.21 | $28.12 | $51.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.83 / $123.78 / $185.87
| Facility | | $74.83 | $123.78 | $185.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.72 / $38.01 / $61.79
| Professional | | $30.72 | $38.01 | $61.79 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.26 / $11.00 / $18.43
| Professional | 26 | $9.26 | $11.00 | $18.43 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.53 / $26.19 / $42.52
| Professional | TC | $20.53 | $26.19 | $42.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.85 / $36.76 / $52.26
| Professional | | $32.85 | $36.76 | $52.26 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.83 / $10.17 / $14.05
| Professional | 26 | $8.83 | $10.17 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.02 / $26.59 / $38.21
| Professional | TC | $24.02 | $26.59 | $38.21 |