- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $51.29 / $112.20
| Facility | | $4.79 | $51.29 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $3.98 / $5.37 / $6.03
| Facility | 26 | $3.98 | $5.37 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $13.18 / $33.11
| Professional | | $8.91 | $13.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $5.37 / $7.94 / $26.30
| Professional | 26 | $5.37 | $7.94 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.48 / $11.48 / $29.51
| Professional | 50 | $11.48 | $11.48 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $2.00 / $3.39 / $6.92
| Professional | TC | $2.00 | $3.39 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $9.55 / $14.79
| Professional | | $7.94 | $9.55 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $1.82 / $1.82 / $10.00
| Professional | 26 | $1.82 | $1.82 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.02 / $3.02 / $5.62
| Professional | TC | $3.02 | $3.02 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $61.66 / $97.72
| Facility | | $26.30 | $61.66 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.33 / $14.13
| Professional | | $6.03 | $9.33 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $51.29 / $147.91
| Facility | | $18.20 | $51.29 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.80 / $18.20
| Professional | | $9.77 | $13.80 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.96 / $11.48
| Facility | | $10.47 | $10.96 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $7.94 / $7.94
| Professional | 26 | $7.24 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $18.20 / $53.70
| Facility | | $6.76 | $18.20 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.86 / $8.71 / $12.30
| Facility | 26 | $1.86 | $8.71 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $14.13 / $26.92
| Professional | | $9.55 | $14.13 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.46 / $9.77 / $17.78
| Professional | 26 | $6.46 | $9.77 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $2.95 / $4.37 / $9.33
| Professional | TC | $2.95 | $4.37 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $1,412.54 / $1,412.54 / $1,412.54
| Professional | | $1,412.54 | $1,412.54 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $1,288.25 / $1,288.25 / $1,288.25
| Professional | 26 | $1,288.25 | $1,288.25 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $977.24 / $977.24 / $977.24
| Professional | TC | $977.24 | $977.24 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $15.14 / $28.84
| Facility | | $9.33 | $15.14 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $3.98 / $5.01 / $6.03
| Facility | 26 | $3.98 | $5.01 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $13.80 / $33.88
| Professional | | $8.91 | $13.80 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.03 / $9.12 / $19.05
| Professional | 26 | $6.03 | $9.12 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.48 / $11.48 / $12.30
| Professional | 50 | $11.48 | $11.48 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $2.00 / $4.47 / $8.71
| Professional | TC | $2.00 | $4.47 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $11.22 / $33.11
| Professional | | $3.09 | $11.22 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $29.51 / $34.67
| Professional | | $15.14 | $29.51 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $15.85 / $28.84
| Facility | | $10.00 | $15.85 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $1.86 / $8.71 / $12.30
| Facility | 26 | $1.86 | $8.71 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $13.80 / $28.18
| Professional | | $9.55 | $13.80 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $6.46 / $8.91 / $17.38
| Professional | 26 | $6.46 | $8.91 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.02 / $3.98 / $9.12
| Professional | TC | $3.02 | $3.98 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $45.71 / $60.26
| Facility | | $19.50 | $45.71 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.49 / $21.88
| Professional | | $10.96 | $13.49 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.24 / $9.55 / $15.14
| Professional | 26 | $7.24 | $9.55 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.39 / $4.37 / $7.08
| Professional | TC | $3.39 | $4.37 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $12.02 / $14.13
| Professional | | $11.22 | $12.02 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $7.41 / $7.76 / $9.33
| Professional | 26 | $7.41 | $7.76 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $3.80 / $4.07 / $4.79
| Professional | TC | $3.80 | $4.07 | $4.79 |