- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.23 / $417.82 / $883.68
| Facility | | $93.23 | $417.82 | $883.68 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.78 / $9.52 / $51.19
| Facility | 26 | $7.78 | $9.52 | $51.19 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.93 / $247.91 / $681.03
| Facility | TC | $31.93 | $247.91 | $681.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $45.96 / $158.00
| Professional | | $15.16 | $45.96 | $158.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.61 / $13.26 / $49.00
| Professional | 26 | $7.61 | $13.26 | $49.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $55.80 / $112.99 / $287.64
| Professional | 50 | $55.80 | $112.99 | $287.64 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.92 / $17.60 / $100.66
| Professional | 52 | $12.92 | $17.60 | $100.66 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.95 / $35.96 / $119.00
| Professional | TC | $21.95 | $35.96 | $119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.27 / $40.94 / $89.66
| Professional | | $32.27 | $40.94 | $89.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.19 / $10.22 / $18.97
| Professional | 26 | $6.19 | $10.22 | $18.97 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $78.15 / $97.07 / $97.07
| Professional | 50 | $78.15 | $97.07 | $97.07 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $31.70 / $58.11 / $60.14
| Professional | TC | $31.70 | $58.11 | $60.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $186.59 / $876.00
| Facility | | $9.57 | $186.59 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.65 / $40.85 / $80.73
| Professional | | $30.65 | $40.85 | $80.73 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.00 / $11.40 / $22.51
| Professional | 26 | $9.00 | $11.40 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $41.23 / $48.36 / $77.09
| Professional | 50 | $41.23 | $48.36 | $77.09 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.83 / $29.56 / $60.06
| Professional | TC | $22.83 | $29.56 | $60.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $95.98 / $210.87
| Facility | | $53.00 | $95.98 | $210.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.20 / $38.90 / $98.42
| Professional | | $31.20 | $38.90 | $98.42 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.07 / $10.27 / $23.67
| Professional | 26 | $8.07 | $10.27 | $23.67 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.40 / $28.22 / $68.95
| Professional | TC | $22.40 | $28.22 | $68.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.54 / $225.99 / $483.01
| Facility | | $59.54 | $225.99 | $483.01 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.68 / $31.68 / $31.68
| Facility | TC | $31.68 | $31.68 | $31.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.64 / $42.68 / $91.29
| Professional | | $28.64 | $42.68 | $91.29 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.54 / $10.60 / $23.42
| Professional | 26 | $7.54 | $10.60 | $23.42 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $43.28 / $43.28 / $49.18
| Professional | 50 | $43.28 | $43.28 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.71 / $31.50 / $76.54
| Professional | TC | $20.71 | $31.50 | $76.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.14 / $47.58 / $64.23
| Professional | | $25.14 | $47.58 | $64.23 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.79 / $9.34 / $12.61
| Professional | 26 | $6.79 | $9.34 | $12.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.35 / $38.24 / $51.62
| Professional | TC | $18.35 | $38.24 | $51.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $17.50 / $17.50 / $17.50
| Professional | 26 | $17.50 | $17.50 | $17.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.79 / $47.08 / $77.08
| Professional | | $34.79 | $47.08 | $77.08 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.23 / $11.21 / $17.73
| Professional | 26 | $8.23 | $11.21 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.59 / $44.30 / $71.81
| Professional | TC | $30.59 | $44.30 | $71.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.14 / $359.91 / $359.91
| Facility | | $105.14 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $24.54 / $100.00 / $100.00
| Facility | 26 | $24.54 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $100.00 / $153.33 / $153.33
| Facility | TC | $100.00 | $153.33 | $153.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.03 / $237.03 / $306.52
| Professional | | $237.03 | $237.03 | $306.52 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $71.00 / $71.00 / $71.00
| Professional | 26 | $71.00 | $71.00 | $71.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $183.85 / $183.85 / $238.80
| Professional | TC | $183.85 | $183.85 | $238.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.65 / $32.34 / $32.34
| Professional | | $31.65 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.08 / $47.64 / $90.11
| Facility | | $32.08 | $47.64 | $90.11 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Facility | 26 | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $31.68 / $31.68 / $31.68
| Facility | TC | $31.68 | $31.68 | $31.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.77 / $47.28 / $98.84
| Professional | | $29.77 | $47.28 | $98.84 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.54 / $10.39 / $22.87
| Professional | 26 | $7.54 | $10.39 | $22.87 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $40.29 / $40.29 / $42.59
| Professional | 52 | $40.29 | $40.29 | $42.59 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.71 / $30.78 / $69.77
| Professional | TC | $20.71 | $30.78 | $69.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.84 / $115.84 / $115.84
| Professional | | $115.84 | $115.84 | $115.84 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $28.64 / $28.64 / $28.64
| Professional | 26 | $28.64 | $28.64 | $28.64 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $87.20 / $87.20 / $87.20
| Professional | TC | $87.20 | $87.20 | $87.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.70 / $50.48 / $61.29
| Professional | | $37.70 | $50.48 | $61.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.11 / $157.50 / $157.50
| Facility | | $42.11 | $157.50 | $157.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.23 / $36.72 / $89.09
| Professional | | $23.23 | $36.72 | $89.09 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.64 / $9.28 / $25.00
| Professional | 26 | $6.64 | $9.28 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.77 / $26.57 / $67.37
| Professional | TC | $16.77 | $26.57 | $67.37 |