- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.66 / $223.11 / $427.38
| Facility | | $46.66 | $223.11 | $427.38 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.06 / $13.86 / $16.76
| Facility | 26 | $12.06 | $13.86 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $34.60 / $48.31 / $415.10
| Facility | TC | $34.60 | $48.31 | $415.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.92 / $46.66 / $270.98
| Professional | | $24.92 | $46.66 | $270.98 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.48 / $13.04 / $94.66
| Professional | 26 | $7.48 | $13.04 | $94.66 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $115.14 / $242.12 / $242.12
| Professional | 50 | $115.14 | $242.12 | $242.12 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $13.56 / $23.26 / $120.70
| Professional | 52 | $13.56 | $23.26 | $120.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.93 / $29.21 / $62.22
| Professional | TC | $19.93 | $29.21 | $62.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.15 / $61.54 / $171.59
| Professional | | $28.15 | $61.54 | $171.59 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.78 / $17.97 / $50.06
| Professional | 26 | $7.78 | $17.97 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $42.44 / $100.51 / $284.97
| Professional | 50 | $42.44 | $100.51 | $284.97 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.84 / $45.34 / $127.85
| Professional | TC | $19.84 | $45.34 | $127.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.33 / $26.87 / $38.26
| Facility | | $8.33 | $26.87 | $38.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $26.96 / $42.24
| Professional | | $8.90 | $26.96 | $42.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.61 / $100.04 / $132.96
| Facility | | $85.61 | $100.04 | $132.96 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $20.73 / $24.22 / $32.19
| Facility | 26 | $20.73 | $24.22 | $32.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $64.88 / $75.81 / $100.77
| Facility | TC | $64.88 | $75.81 | $100.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.63 / $110.70 / $125.80
| Professional | | $31.63 | $110.70 | $125.80 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.11 / $28.23 / $32.08
| Professional | 26 | $9.11 | $28.23 | $32.08 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.06 / $82.47 / $93.71
| Professional | TC | $22.06 | $82.47 | $93.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $39.20 / $64.37
| Facility | | $26.60 | $39.20 | $64.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $46.66 / $262.99
| Facility | | $26.60 | $46.66 | $262.99 |
- 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
- $83.95 / $240.27 / $364.76
| Facility | TC | $83.95 | $240.27 | $364.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.01 / $72.38 / $200.17
| Professional | | $31.01 | $72.38 | $200.17 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.10 / $21.90 / $61.09
| Professional | 26 | $9.10 | $21.90 | $61.09 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $41.56 / $41.56 / $41.56
| Professional | 52 | $41.56 | $41.56 | $41.56 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.02 / $51.65 / $154.00
| Professional | TC | $22.02 | $51.65 | $154.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $33.89 / $74.33
| Professional | | $19.34 | $33.89 | $74.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $40.64 / $64.37
| Facility | | $26.60 | $40.64 | $64.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.10 / $79.37 / $120.92
| Professional | | $61.10 | $79.37 | $120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.76 / $342.77 / $342.77
| Facility | | $75.76 | $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 / $105.96 / $105.96
| Facility | TC | $100.00 | $105.96 | $105.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.45 / $144.75 / $200.17
| Professional | | $48.45 | $144.75 | $200.17 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $13.07 / $41.45 / $61.09
| Professional | 26 | $13.07 | $41.45 | $61.09 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $34.72 / $103.35 / $154.00
| Professional | TC | $34.72 | $103.35 | $154.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.20 / $176.91 / $197.19
| Professional | | $56.20 | $176.91 | $197.19 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $18.47 / $23.37 / $45.53
| Professional | 26 | $18.47 | $23.37 | $45.53 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $37.72 / $44.98 / $111.91
| Professional | TC | $37.72 | $44.98 | $111.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.89 / $187.89 / $187.89
| Facility | | $187.89 | $187.89 | $187.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.68 / $67.30 / $126.87
| Professional | | $30.68 | $67.30 | $126.87 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.93 / $19.48 / $36.38
| Professional | 26 | $8.93 | $19.48 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.02 / $47.53 / $90.54
| Professional | TC | $22.02 | $47.53 | $90.54 |