- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $263.03 / $562.34
| Facility | | $58.88 | $263.03 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.96 / $17.38 / $38.90
| Facility | 26 | $10.96 | $17.38 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $41.69 / $181.97 / $467.74
| Facility | TC | $41.69 | $181.97 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $47.86 / $131.83
| Professional | | $11.48 | $47.86 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.76 / $16.60 / $44.67
| Professional | 26 | $7.76 | $16.60 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.62 / $79.43 / $213.80
| Professional | 50 | $18.62 | $79.43 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | 52 | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $44.67 / $85.11
| Professional | TC | $21.88 | $44.67 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $239.88 / $302.00
| Facility | | $28.84 | $239.88 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $63.10 / $97.72
| Professional | | $30.90 | $63.10 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.71 / $15.49 / $23.44
| Professional | 26 | $8.71 | $15.49 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $21.88 / $48.98 / $74.13
| Professional | TC | $21.88 | $48.98 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $74.13 / $93.33
| Professional | | $66.07 | $74.13 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $15.14 / $16.98 / $20.42
| Professional | 26 | $15.14 | $16.98 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $50.12 / $56.23 / $72.44
| Professional | TC | $50.12 | $56.23 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $70.79 / $363.08
| Facility | | $33.88 | $70.79 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $10.96 / $15.49 / $40.74
| Facility | 26 | $10.96 | $15.49 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $36.31 / $181.97 / $489.78
| Facility | TC | $36.31 | $181.97 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $57.54 / $107.15
| Professional | | $22.39 | $57.54 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.32 / $16.22 / $30.20
| Professional | 26 | $8.32 | $16.22 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $22.91 / $74.13 / $208.93
| Professional | 50 | $22.91 | $74.13 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $25.70 / $50.12 / $77.62
| Professional | TC | $25.70 | $50.12 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $61.66 / $69.18
| Facility | | $45.71 | $61.66 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $13.18 / $15.85 / $16.22
| Facility | 26 | $13.18 | $15.85 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $33.11 / $45.71 / $52.48
| Facility | TC | $33.11 | $45.71 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $9.55 / $14.45 / $17.78
| Professional | 26 | $9.55 | $14.45 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.92 / $38.90 / $47.86
| Professional | TC | $26.92 | $38.90 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $50.12 / $87.10
| Facility | | $32.36 | $50.12 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.95 / $9.12 / $13.18
| Facility | 26 | $1.95 | $9.12 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $6.03 / $28.18 / $40.74
| Facility | TC | $6.03 | $28.18 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $67.61 / $100.00
| Professional | | $51.29 | $67.61 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $11.22 / $16.98 / $23.44
| Professional | 26 | $11.22 | $16.98 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $30.90 / $48.98 / $75.86
| Professional | TC | $30.90 | $48.98 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $281.84 / $354.81
| Facility | | $204.17 | $281.84 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | 26 | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- TC
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | TC | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $69.18 / $91.20
| Professional | | $56.23 | $69.18 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $14.45 / $16.98 / $21.88
| Professional | 26 | $14.45 | $16.98 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $39.81 / $52.48 / $69.18
| Professional | TC | $39.81 | $52.48 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $323.59 / $426.58
| Facility | | $263.03 | $323.59 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $38.90 / $89.13
| Professional | | $28.84 | $38.90 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $8.32 / $10.47 / $22.39
| Professional | 26 | $8.32 | $10.47 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.42 / $28.84 / $69.18
| Professional | TC | $20.42 | $28.84 | $69.18 |