- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.18 / $373.10 / $678.72
| Facility | | $74.18 | $373.10 | $678.72 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $13.11 / $15.07 / $18.23
| Facility | 26 | $13.11 | $15.07 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $40.08 / $253.08 / $523.58
| Facility | TC | $40.08 | $253.08 | $523.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.75 / $48.59 / $177.00
| Professional | | $20.75 | $48.59 | $177.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.33 / $15.80 / $80.75
| Professional | 26 | $8.33 | $15.80 | $80.75 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $620.00 / $620.00 / $620.00
| Professional | 50 | $620.00 | $620.00 | $620.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.54 / $30.39 / $132.00
| Professional | TC | $22.54 | $30.39 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $73.92 / $202.60
| Professional | | $32.90 | $73.92 | $202.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.46 / $19.54 / $56.76
| Professional | 26 | $8.46 | $19.54 | $56.76 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.39 / $113.97 / $325.77
| Professional | 50 | $48.39 | $113.97 | $325.77 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.30 / $54.41 / $147.34
| Professional | TC | $24.30 | $54.41 | $147.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.03 / $31.08 / $43.68
| Facility | | $9.03 | $31.08 | $43.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $31.23 / $48.12
| Professional | | $9.68 | $31.23 | $48.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.42 / $112.67 / $149.75
| Facility | | $96.42 | $112.67 | $149.75 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $22.53 / $26.33 / $34.99
| Facility | 26 | $22.53 | $26.33 | $34.99 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $73.89 / $86.35 / $114.76
| Facility | TC | $73.89 | $86.35 | $114.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.43 / $124.87 / $141.90
| Professional | | $37.43 | $124.87 | $141.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.68 / $30.66 / $34.84
| Professional | 26 | $10.68 | $30.66 | $34.84 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.66 / $94.22 / $107.06
| Professional | TC | $26.66 | $94.22 | $107.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.47 / $39.60 / $69.72
| Facility | | $30.47 | $39.60 | $69.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.47 / $53.20 / $248.28
| Facility | | $30.47 | $53.20 | $248.28 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $70.00 / $70.00 / $204.00
| Facility | 26 | $70.00 | $70.00 | $204.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $118.67 / $272.74 / $496.15
| Facility | TC | $118.67 | $272.74 | $496.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.18 / $84.32 / $226.14
| Professional | | $36.18 | $84.32 | $226.14 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $10.28 / $23.44 / $55.28
| Professional | 26 | $10.28 | $23.44 | $55.28 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.80 / $59.88 / $170.86
| Professional | TC | $25.80 | $59.88 | $170.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.34 / $33.09 / $74.33
| Professional | | $19.34 | $33.09 | $74.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.47 / $42.20 / $69.72
| Facility | | $30.47 | $42.20 | $69.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.81 / $84.40 / $140.85
| Professional | | $43.81 | $84.40 | $140.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.83 / $342.77 / $342.77
| Facility | | $84.83 | $342.77 | $342.77 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $20.83 / $70.00 / $70.00
| Facility | 26 | $20.83 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $64.00 / $122.62 / $122.62
| Facility | TC | $64.00 | $122.62 | $122.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.59 / $165.50 / $226.14
| Professional | | $52.59 | $165.50 | $226.14 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $13.51 / $45.05 / $55.28
| Professional | 26 | $13.51 | $45.05 | $55.28 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $39.67 / $120.45 / $170.86
| Professional | TC | $39.67 | $120.45 | $170.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.00 / $222.46 / $222.46
| Professional | | $63.00 | $222.46 | $222.46 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.80 / $20.82 / $41.23
| Professional | 26 | $8.80 | $20.82 | $41.23 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $41.79 / $49.17 / $119.13
| Professional | TC | $41.79 | $49.17 | $119.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.21 / $71.17 / $145.06
| Professional | | $35.21 | $71.17 | $145.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.85 / $21.16 / $39.53
| Professional | 26 | $9.85 | $21.16 | $39.53 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.38 / $53.05 / $102.59
| Professional | TC | $25.38 | $53.05 | $102.59 |