- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.74 / $393.64 / $871.94
| Facility | | $82.74 | $393.64 | $871.94 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $7.71 / $9.50 / $48.75
| Facility | 26 | $7.71 | $9.50 | $48.75 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $33.84 / $279.47 / $598.03
| Facility | TC | $33.84 | $279.47 | $598.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.33 / $49.38 / $151.00
| Professional | | $21.33 | $49.38 | $151.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.59 / $13.82 / $48.75
| Professional | 26 | $7.59 | $13.82 | $48.75 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $57.51 / $91.59 / $263.08
| Professional | 50 | $57.51 | $91.59 | $263.08 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $12.76 / $16.44 / $94.40
| Professional | 52 | $12.76 | $16.44 | $94.40 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.32 / $34.93 / $104.00
| Professional | TC | $21.32 | $34.93 | $104.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.04 / $35.22 / $75.62
| Professional | | $28.04 | $35.22 | $75.62 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.93 / $9.85 / $20.97
| Professional | 26 | $5.93 | $9.85 | $20.97 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.35 / $72.95 / $90.63
| Professional | 50 | $48.35 | $72.95 | $90.63 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.68 / $33.92 / $54.92
| Professional | TC | $26.68 | $33.92 | $54.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $174.50 / $876.00
| Facility | | $9.57 | $174.50 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.17 / $39.17 / $76.13
| Professional | | $30.17 | $39.17 | $76.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.99 / $11.36 / $22.34
| Professional | 26 | $8.99 | $11.36 | $22.34 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.40 / $45.46 / $66.00
| Professional | 50 | $40.40 | $45.46 | $66.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.37 / $28.45 / $58.94
| Professional | TC | $22.37 | $28.45 | $58.94 |
- 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
- $29.07 / $36.50 / $95.06
| Professional | | $29.07 | $36.50 | $95.06 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.72 / $9.80 / $23.37
| Professional | 26 | $7.72 | $9.80 | $23.37 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.57 / $25.95 / $66.66
| Professional | TC | $20.57 | $25.95 | $66.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.32 / $225.99 / $483.01
| Facility | | $55.32 | $225.99 | $483.01 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.25 / $9.25 / $9.25
| Facility | 26 | $9.25 | $9.25 | $9.25 |
- 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
- $27.37 / $40.94 / $86.56
| Professional | | $27.37 | $40.94 | $86.56 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.09 / $10.39 / $22.43
| Professional | 26 | $7.09 | $10.39 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $40.56 / $40.56 / $46.03
| Professional | 50 | $40.56 | $40.56 | $46.03 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.50 / $30.04 / $71.14
| Professional | TC | $20.50 | $30.04 | $71.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.22 / $44.37 / $59.90
| Professional | | $24.22 | $44.37 | $59.90 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.78 / $8.88 / $11.99
| Professional | 26 | $6.78 | $8.88 | $11.99 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $17.44 / $35.49 / $47.91
| Professional | TC | $17.44 | $35.49 | $47.91 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $16.69 / $16.69 / $16.69
| Professional | 26 | $16.69 | $16.69 | $16.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.50 / $43.96 / $72.00
| Professional | | $32.50 | $43.96 | $72.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.88 / $10.66 / $16.86
| Professional | 26 | $7.88 | $10.66 | $16.86 |
- 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
- $102.62 / $359.91 / $359.91
| Facility | | $102.62 | $359.91 | $359.91 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $27.00 / $100.00 / $100.00
| Facility | 26 | $27.00 | $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
- $221.82 / $221.82 / $286.73
| Professional | | $221.82 | $221.82 | $286.73 |
- 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
- $170.86 / $170.86 / $221.85
| Professional | TC | $170.86 | $170.86 | $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
- $30.31 / $45.86 / $88.38
| Facility | | $30.31 | $45.86 | $88.38 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $9.25 / $9.25 / $9.25
| Facility | 26 | $9.25 | $9.25 | $9.25 |
- 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
- $27.97 / $44.44 / $92.55
| Professional | | $27.97 | $44.44 | $92.55 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.17 / $10.18 / $22.32
| Professional | 26 | $7.17 | $10.18 | $22.32 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $37.65 / $37.65 / $39.88
| Professional | 52 | $37.65 | $37.65 | $39.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.71 / $29.48 / $64.09
| Professional | TC | $20.71 | $29.48 | $64.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.63 / $108.63 / $108.63
| Professional | | $108.63 | $108.63 | $108.63 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $27.44 / $27.44 / $27.44
| Professional | 26 | $27.44 | $27.44 | $27.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $81.19 / $81.19 / $81.19
| Professional | TC | $81.19 | $81.19 | $81.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.88 / $48.64 / $59.06
| Professional | | $35.88 | $48.64 | $59.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.43 / $144.90 / $144.90
| Facility | | $39.43 | $144.90 | $144.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.02 / $35.29 / $83.10
| Professional | | $23.02 | $35.29 | $83.10 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.64 / $8.78 / $20.39
| Professional | 26 | $6.64 | $8.78 | $20.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $16.77 / $25.43 / $62.71
| Professional | TC | $16.77 | $25.43 | $62.71 |