- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.39 / $364.80 / $644.28
| Facility | | $181.39 | $364.80 | $644.28 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.59 / $14.47 / $17.62
| Facility | 26 | $12.59 | $14.47 | $17.62 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $67.98 / $309.12 / $600.14
| Facility | TC | $67.98 | $309.12 | $600.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.68 / $66.31 / $275.04
| Professional | | $21.68 | $66.31 | $275.04 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.87 / $21.55 / $101.14
| Professional | 26 | $7.87 | $21.55 | $101.14 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $44.56 / $315.43 / $710.00
| Professional | 50 | $44.56 | $315.43 | $710.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.75 / $57.10 / $194.82
| Professional | TC | $28.75 | $57.10 | $194.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.54 / $80.65 / $224.38
| Professional | | $36.54 | $80.65 | $224.38 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.11 / $18.76 / $52.25
| Professional | 26 | $8.11 | $18.76 | $52.25 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $54.08 / $130.54 / $366.06
| Professional | 50 | $54.08 | $130.54 | $366.06 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $27.45 / $61.97 / $178.74
| Professional | TC | $27.45 | $61.97 | $178.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.69 / $37.11 / $51.88
| Facility | | $8.69 | $37.11 | $51.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $37.13 / $55.70
| Professional | | $9.28 | $37.13 | $55.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.74 / $130.58 / $173.55
| Facility | | $111.74 | $130.58 | $173.55 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $21.63 / $25.27 / $33.59
| Facility | 26 | $21.63 | $25.27 | $33.59 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $90.11 / $105.30 / $139.96
| Facility | TC | $90.11 | $105.30 | $139.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.04 / $144.74 / $164.48
| Professional | | $38.04 | $144.74 | $164.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.52 / $29.44 / $33.45
| Professional | 26 | $9.52 | $29.44 | $33.45 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $29.16 / $115.30 / $131.03
| Professional | TC | $29.16 | $115.30 | $131.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.02 / $49.40 / $84.44
| Facility | | $31.02 | $49.40 | $84.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.89 / $84.44 / $321.79
| Facility | | $34.89 | $84.44 | $321.79 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $61.75 / $100.00 / $186.00
| Facility | 26 | $61.75 | $100.00 | $186.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $149.85 / $290.66 / $461.58
| Facility | TC | $149.85 | $290.66 | $461.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.93 / $100.78 / $263.06
| Professional | | $39.93 | $100.78 | $263.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.86 / $26.71 / $73.92
| Professional | 26 | $9.86 | $26.71 | $73.92 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.32 / $74.20 / $209.88
| Professional | TC | $30.32 | $74.20 | $209.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $37.91 / $77.04
| Professional | | $19.34 | $37.91 | $77.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.02 / $51.30 / $84.44
| Facility | | $31.02 | $51.30 | $84.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.59 / $120.75 / $149.91
| Professional | | $80.59 | $120.75 | $149.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.04 / $342.77 / $342.77
| Facility | | $115.04 | $342.77 | $342.77 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | 26 | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $100.00 / $149.85 / $149.85
| Facility | TC | $100.00 | $149.85 | $149.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.63 / $185.95 / $263.06
| Professional | | $63.63 | $185.95 | $263.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $13.64 / $43.25 / $67.70
| Professional | 26 | $13.64 | $43.25 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $48.56 / $142.69 / $209.88
| Professional | TC | $48.56 | $142.69 | $209.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.06 / $229.78 / $257.92
| Professional | | $76.06 | $229.78 | $257.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $19.26 / $24.37 / $47.48
| Professional | 26 | $19.26 | $24.37 | $47.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $48.55 / $56.80 / $168.28
| Professional | TC | $48.55 | $56.80 | $168.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.22 / $76.75 / $162.99
| Professional | | $38.22 | $76.75 | $162.99 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.44 / $20.30 / $37.90
| Professional | 26 | $9.44 | $20.30 | $37.90 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.32 / $65.73 / $125.08
| Professional | TC | $30.32 | $65.73 | $125.08 |