- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.42 / $289.74 / $606.30
| Facility | | $44.42 | $289.74 | $606.30 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $4.95 / $6.45 / $10.23
| Facility | 26 | $4.95 | $6.45 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $19.88 / $107.42 / $312.42
| Facility | TC | $19.88 | $107.42 | $312.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.69 / $30.60 / $73.54
| Professional | | $20.69 | $30.60 | $73.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.45 / $7.89 / $25.99
| Professional | 26 | $5.45 | $7.89 | $25.99 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.75 / $21.35 / $41.45
| Professional | TC | $15.75 | $21.35 | $41.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.70 / $25.20 / $53.06
| Professional | | $23.70 | $25.20 | $53.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.85 / $9.68 / $14.26
| Professional | 26 | $5.85 | $9.68 | $14.26 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.62 / $17.85 / $22.98
| Professional | TC | $15.62 | $17.85 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.35 / $179.57 / $336.80
| Facility | | $57.35 | $179.57 | $336.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $22.85 / $33.31
| Professional | | $6.59 | $22.85 | $33.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.62 / $162.88 / $432.64
| Facility | | $29.62 | $162.88 | $432.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.10 / $41.81 / $57.76
| Professional | | $31.10 | $41.81 | $57.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.55 / $31.32 / $87.39
| Facility | | $29.55 | $31.32 | $87.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $21.78 / $22.31 / $23.82
| Facility | TC | $21.78 | $22.31 | $23.82 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $8.11 / $22.14
| Professional | 26 | $7.24 | $8.11 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.65 / $95.64 / $281.97
| Facility | | $41.65 | $95.64 | $281.97 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.86 / $8.86 / $8.86
| Facility | 26 | $8.86 | $8.86 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $27.22 / $27.22 / $27.22
| Facility | TC | $27.22 | $27.22 | $27.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.37 / $33.15 / $59.66
| Professional | | $23.37 | $33.15 | $59.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.40 / $9.50 / $17.16
| Professional | 26 | $6.40 | $9.50 | $17.16 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.61 / $24.46 / $43.58
| Professional | TC | $16.61 | $24.46 | $43.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.72 / $359.91 / $359.91
| Facility | | $68.72 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $24.54 / $100.00 / $100.00
| Facility | 26 | $24.54 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $51.52 / $133.13 / $133.13
| Facility | TC | $51.52 | $133.13 | $133.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.50 / $204.50 / $270.00
| Professional | | $204.50 | $204.50 | $270.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $74.30 / $74.30 / $74.30
| Professional | 26 | $74.30 | $74.30 | $74.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $176.00 / $176.00 / $207.68
| Professional | TC | $176.00 | $176.00 | $207.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.42 / $36.00 / $64.94
| Facility | | $25.42 | $36.00 | $64.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.99 / $40.36 / $72.34
| Professional | | $12.99 | $40.36 | $72.34 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.67 / $12.28 / $29.76
| Professional | 26 | $9.67 | $12.28 | $29.76 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.69 / $38.96 / $94.44
| Professional | TC | $30.69 | $38.96 | $94.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.00 / $879.00 / $1,418.00
| Facility | | $662.00 | $879.00 | $1,418.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $28.43 / $55.70
| Professional | | $8.58 | $28.43 | $55.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.74 / $36.22 / $79.06
| Facility | | $25.74 | $36.22 | $79.06 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.86 / $8.86 / $8.86
| Facility | 26 | $8.86 | $8.86 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $27.22 / $27.22 / $27.22
| Facility | TC | $27.22 | $27.22 | $27.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.14 / $36.90 / $81.00
| Professional | | $24.14 | $36.90 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.50 / $8.96 / $16.37
| Professional | 26 | $6.50 | $8.96 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.61 / $23.60 / $42.67
| Professional | TC | $16.61 | $23.60 | $42.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.41 / $30.32 / $49.89
| Professional | | $25.41 | $30.32 | $49.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.93 / $8.34 / $14.55
| Professional | 26 | $6.93 | $8.34 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.80 / $21.95 / $36.96
| Professional | TC | $17.80 | $21.95 | $36.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.50 / $29.62 / $42.13
| Professional | | $26.50 | $29.62 | $42.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.35 / $7.31 / $10.08
| Professional | 26 | $6.35 | $7.31 | $10.08 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.14 / $22.31 / $32.04
| Professional | TC | $20.14 | $22.31 | $32.04 |