- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.54 / $383.62 / $712.13
| Facility | | $89.54 | $383.62 | $712.13 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $11.51 / $18.64 / $48.88
| Facility | 26 | $11.51 | $18.64 | $48.88 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $75.68 / $314.16 / $490.02
| Facility | TC | $75.68 | $314.16 | $490.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $62.00 / $239.00
| Professional | | $14.90 | $62.00 | $239.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.02 / $16.66 / $90.25
| Professional | 26 | $10.02 | $16.66 | $90.25 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $629.00 / $629.00 / $629.00
| Professional | 50 | $629.00 | $629.00 | $629.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $31.11 / $54.06 / $218.94
| Professional | TC | $31.11 | $54.06 | $218.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.61 / $97.27 / $263.37
| Professional | | $42.61 | $97.27 | $263.37 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.46 / $24.16 / $70.18
| Professional | 26 | $10.46 | $24.16 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $63.69 / $150.85 / $427.65
| Professional | 50 | $63.69 | $150.85 | $427.65 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $32.29 / $74.56 / $201.90
| Professional | TC | $32.29 | $74.56 | $201.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $42.58 / $58.56
| Facility | | $11.11 | $42.58 | $58.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $42.85 / $64.38
| Professional | | $11.95 | $42.85 | $64.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129.76 / $151.63 / $201.54
| Facility | | $129.76 | $151.63 | $201.54 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $27.93 / $32.64 / $43.39
| Facility | 26 | $27.93 | $32.64 | $43.39 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $101.83 / $118.99 / $158.15
| Facility | TC | $101.83 | $118.99 | $158.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.86 / $167.27 / $190.08
| Professional | | $47.86 | $167.27 | $190.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.60 / $37.90 / $43.08
| Professional | 26 | $12.60 | $37.90 | $43.08 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $35.70 / $129.36 / $147.00
| Professional | TC | $35.70 | $129.36 | $147.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.96 / $53.00 / $93.52
| Facility | | $39.96 | $53.00 | $93.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.77 / $175.50 / $345.85
| Facility | | $40.77 | $175.50 | $345.85 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $70.00 / $70.00 / $267.67
| Facility | 26 | $70.00 | $70.00 | $267.67 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $168.01 / $311.54 / $523.63
| Facility | TC | $168.01 | $311.54 | $523.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.31 / $112.97 / $301.95
| Professional | | $47.31 | $112.97 | $301.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.70 / $32.06 / $89.10
| Professional | 26 | $12.70 | $32.06 | $89.10 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $34.45 / $78.63 / $233.75
| Professional | TC | $34.45 | $78.63 | $233.75 |
- 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
- $39.96 / $56.54 / $93.52
| Facility | | $39.96 | $56.54 | $93.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.50 / $112.80 / $177.65
| Professional | | $57.50 | $112.80 | $177.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.63 / $342.77 / $342.77
| Facility | | $113.63 | $342.77 | $342.77 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $25.75 / $70.00 / $70.00
| Facility | 26 | $25.75 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $87.88 / $168.01 / $168.01
| Facility | TC | $87.88 | $168.01 | $168.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.45 / $217.25 / $301.95
| Professional | | $70.45 | $217.25 | $301.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.52 / $55.70 / $68.20
| Professional | 26 | $16.52 | $55.70 | $68.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $54.49 / $161.55 / $233.75
| Professional | TC | $54.49 | $161.55 | $233.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $80.28 / $265.55 / $298.05
| Professional | | $80.28 | $265.55 | $298.05 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.06 / $24.78 / $51.02
| Professional | 26 | $21.06 | $24.78 | $51.02 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $54.77 / $64.43 / $161.31
| Professional | TC | $54.77 | $64.43 | $161.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.16 / $102.03 / $190.65
| Professional | | $46.16 | $102.03 | $190.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.13 / $26.16 / $48.82
| Professional | 26 | $12.13 | $26.16 | $48.82 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $34.28 / $70.94 / $134.81
| Professional | TC | $34.28 | $70.94 | $134.81 |