- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.44 / $242.14 / $437.78
| Facility | | $66.44 | $242.14 | $437.78 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $12.06 / $13.86 / $16.07
| Facility | 26 | $12.06 | $13.86 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $36.59 / $50.40 / $351.28
| Facility | TC | $36.59 | $50.40 | $351.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.68 / $48.65 / $182.63
| Professional | | $20.68 | $48.65 | $182.63 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.19 / $12.06 / $66.90
| Professional | 26 | $7.19 | $12.06 | $66.90 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $30.00 / $65.48 / $151.19
| Professional | 50 | $30.00 | $65.48 | $151.19 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.13 / $24.33 / $114.75
| Professional | 52 | $14.13 | $24.33 | $114.75 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.00 / $35.42 / $151.19
| Professional | TC | $21.00 | $35.42 | $151.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.81 / $64.17 / $175.23
| Professional | | $29.81 | $64.17 | $175.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.78 / $17.73 / $48.00
| Professional | 26 | $7.78 | $17.73 | $48.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $44.71 / $104.95 / $295.48
| Professional | 50 | $44.71 | $104.95 | $295.48 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.51 / $48.26 / $133.31
| Professional | TC | $21.51 | $48.26 | $133.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.01 / $28.02 / $39.36
| Facility | | $8.01 | $28.02 | $39.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $28.12 / $43.13
| Professional | | $8.53 | $28.12 | $43.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.41 / $102.14 / $135.76
| Facility | | $87.41 | $102.14 | $135.76 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $19.82 / $23.17 / $30.79
| Facility | 26 | $19.82 | $23.17 | $30.79 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $67.58 / $78.98 / $104.97
| Facility | TC | $67.58 | $78.98 | $104.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.64 / $113.01 / $128.43
| Professional | | $31.64 | $113.01 | $128.43 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.11 / $27.05 / $30.74
| Professional | 26 | $9.11 | $27.05 | $30.74 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.51 / $86.01 / $97.74
| Professional | TC | $22.51 | $86.01 | $97.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.74 / $42.89 / $66.44
| Facility | | $27.74 | $42.89 | $66.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.74 / $48.65 / $258.44
| Facility | | $27.74 | $48.65 | $258.44 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $100.00 / $100.00 / $129.00
| Facility | 26 | $100.00 | $100.00 | $129.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $110.49 / $220.76 / $348.37
| Facility | TC | $110.49 | $220.76 | $348.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.11 / $75.80 / $206.66
| Professional | | $32.11 | $75.80 | $206.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.10 / $21.90 / $67.70
| Professional | 26 | $9.10 | $21.90 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $174.15 / $174.15 / $174.15
| Professional | 52 | $174.15 | $174.15 | $174.15 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.46 / $55.07 / $157.81
| Professional | TC | $23.46 | $55.07 | $157.81 |
- 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
- $27.74 / $44.98 / $66.44
| Facility | | $27.74 | $44.98 | $66.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.40 / $90.50 / $127.03
| Professional | | $62.40 | $90.50 | $127.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $342.77 / $342.77
| Facility | | $80.00 | $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 / $110.49 / $110.49
| Facility | TC | $100.00 | $110.49 | $110.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.46 / $151.60 / $206.66
| Professional | | $49.46 | $151.60 | $206.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $12.53 / $41.45 / $67.70
| Professional | 26 | $12.53 | $41.45 | $67.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.22 / $110.20 / $157.81
| Professional | TC | $36.22 | $110.20 | $157.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.83 / $184.76 / $201.39
| Professional | | $63.83 | $184.76 | $201.39 |
- 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
- $45.36 / $48.20 / $119.43
| Professional | TC | $45.36 | $48.20 | $119.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.04 / $104.04 / $104.04
| Facility | | $104.04 | $104.04 | $104.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.11 / $65.19 / $132.88
| Professional | | $32.11 | $65.19 | $132.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.66 / $19.10 / $36.38
| Professional | 26 | $8.66 | $19.10 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $23.21 / $47.53 / $96.55
| Professional | TC | $23.21 | $47.53 | $96.55 |