- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.07 / $350.06 / $797.97
| Facility | | $62.07 | $350.06 | $797.97 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $8.55 / $10.42 / $49.25
| Facility | 26 | $8.55 | $10.42 | $49.25 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $27.02 / $174.13 / $480.84
| Facility | TC | $27.02 | $174.13 | $480.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.03 / $42.15 / $149.30
| Professional | | $20.03 | $42.15 | $149.30 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.72 / $11.62 / $47.97
| Professional | 26 | $7.72 | $11.62 | $47.97 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $30.00 / $120.00 / $300.00
| Professional | 50 | $30.00 | $120.00 | $300.00 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.06 / $16.09 / $61.89
| Professional | 52 | $12.06 | $16.09 | $61.89 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.46 / $26.77 / $109.00
| Professional | TC | $19.46 | $26.77 | $109.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.40 / $44.76 / $83.83
| Professional | | $28.40 | $44.76 | $83.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.90 / $10.50 / $18.22
| Professional | 26 | $5.90 | $10.50 | $18.22 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.00 / $63.00 / $73.06
| Professional | 50 | $38.00 | $63.00 | $73.06 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.66 / $53.92 / $53.92
| Professional | TC | $28.66 | $53.92 | $53.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $174.55 / $876.00
| Facility | | $9.78 | $174.55 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.62 / $38.39 / $76.45
| Professional | | $29.62 | $38.39 | $76.45 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.99 / $11.39 / $22.29
| Professional | 26 | $8.99 | $11.39 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $39.81 / $47.56 / $75.05
| Professional | 50 | $39.81 | $47.56 | $75.05 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.04 / $27.37 / $53.02
| Professional | TC | $21.04 | $27.37 | $53.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $95.60 / $209.05
| Facility | | $53.00 | $95.60 | $209.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.99 / $38.56 / $92.16
| Professional | | $29.99 | $38.56 | $92.16 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.75 / $9.86 / $23.50
| Professional | 26 | $7.75 | $9.86 | $23.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.50 / $28.69 / $64.54
| Professional | TC | $22.50 | $28.69 | $64.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.62 / $225.99 / $483.01
| Facility | | $54.62 | $225.99 | $483.01 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Facility | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.46 / $29.46 / $29.46
| Facility | TC | $29.46 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.18 / $40.60 / $87.56
| Professional | | $27.18 | $40.60 | $87.56 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.42 / $10.60 / $22.55
| Professional | 26 | $7.42 | $10.60 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.91 / $41.91 / $47.61
| Professional | 50 | $41.91 | $41.91 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.20 / $29.56 / $71.14
| Professional | TC | $19.20 | $29.56 | $71.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.02 / $44.47 / $60.03
| Professional | | $19.02 | $44.47 | $60.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $4.95 / $8.99 / $12.14
| Professional | 26 | $4.95 | $8.99 | $12.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $14.07 / $35.49 / $47.91
| Professional | TC | $14.07 | $35.49 | $47.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.54 / $44.02 / $71.58
| Professional | | $32.54 | $44.02 | $71.58 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.90 / $10.79 / $17.07
| Professional | 26 | $7.90 | $10.79 | $17.07 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $28.39 / $41.10 / $66.63
| Professional | TC | $28.39 | $41.10 | $66.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.07 / $359.91 / $359.91
| Facility | | $95.07 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $22.09 / $100.00 / $100.00
| Facility | 26 | $22.09 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $100.00 / $142.31 / $142.31
| Facility | TC | $100.00 | $142.31 | $142.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $219.71 / $219.71 / $286.95
| Professional | | $219.71 | $219.71 | $286.95 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $67.70 / $67.70 / $67.70
| Professional | 26 | $67.70 | $67.70 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $168.70 / $168.70 / $221.85
| Professional | TC | $168.70 | $168.70 | $221.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.09 / $32.34 / $32.34
| Professional | | $29.09 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.77 / $45.66 / $85.00
| Facility | | $29.77 | $45.66 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Facility | 26 | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $29.46 / $29.46 / $29.46
| Facility | TC | $29.46 | $29.46 | $29.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.52 / $44.36 / $91.65
| Professional | | $28.52 | $44.36 | $91.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.42 / $10.41 / $22.48
| Professional | 26 | $7.42 | $10.41 | $22.48 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $37.65 / $37.65 / $39.50
| Professional | 52 | $37.65 | $37.65 | $39.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $19.86 / $28.43 / $66.55
| Professional | TC | $19.86 | $28.43 | $66.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.08 / $111.08 / $111.08
| Professional | | $111.08 | $111.08 | $111.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $27.49 / $27.49 / $27.49
| Professional | 26 | $27.49 | $27.49 | $27.49 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $83.59 / $83.59 / $83.59
| Professional | TC | $83.59 | $83.59 | $83.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.54 / $40.46 / $49.46
| Professional | | $28.54 | $40.46 | $49.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.43 / $133.88 / $133.88
| Facility | | $39.43 | $133.88 | $133.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.60 / $34.29 / $93.25
| Professional | | $21.60 | $34.29 | $93.25 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.92 / $9.53 / $23.23
| Professional | 26 | $6.92 | $9.53 | $23.23 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $15.35 / $25.26 / $76.45
| Professional | TC | $15.35 | $25.26 | $76.45 |