- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.94 / $461.68 / $930.43
| Facility | | $96.94 | $461.68 | $930.43 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $17.38 / $22.25 / $34.72
| Facility | 26 | $17.38 | $22.25 | $34.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.70 / $125.31 / $354.56
| Professional | | $83.70 | $125.31 | $354.56 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $19.16 / $27.53 / $107.20
| Professional | 26 | $19.16 | $27.53 | $107.20 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $38.51 / $46.92 / $76.94
| Professional | 52 | $38.51 | $46.92 | $76.94 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $59.13 / $83.28 / $173.71
| Professional | TC | $59.13 | $83.28 | $173.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.87 / $101.24 / $128.72
| Professional | | $70.87 | $101.24 | $128.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $19.82 / $25.44 / $49.61
| Professional | 26 | $19.82 | $25.44 | $49.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $57.50 / $64.43 / $100.58
| Professional | TC | $57.50 | $64.43 | $100.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.08 / $292.52 / $511.64
| Facility | | $112.08 | $292.52 | $511.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.10 / $78.19 / $110.28
| Professional | | $22.10 | $78.19 | $110.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115.00 / $196.73 / $701.10
| Facility | | $115.00 | $196.73 | $701.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.12 / $122.52 / $202.48
| Professional | | $91.12 | $122.52 | $202.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.99 / $102.18 / $104.71
| Facility | | $100.99 | $102.18 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $25.19 / $27.00 / $71.69
| Professional | 26 | $25.19 | $27.00 | $71.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.73 / $327.80 / $481.35
| Facility | | $110.73 | $327.80 | $481.35 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $30.47 / $30.47 / $30.47
| Facility | 26 | $30.47 | $30.47 | $30.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.05 / $113.48 / $217.54
| Professional | | $86.05 | $113.48 | $217.54 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.88 / $28.65 / $53.70
| Professional | 26 | $21.88 | $28.65 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $63.51 / $84.76 / $166.40
| Professional | TC | $63.51 | $84.76 | $166.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.99 / $584.77 / $584.77
| Facility | | $232.99 | $584.77 | $584.77 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $83.44 / $131.34 / $131.34
| Facility | 26 | $83.44 | $131.34 | $131.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $726.73 / $726.73 / $920.03
| Professional | | $726.73 | $726.73 | $920.03 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $255.92 / $255.92 / $255.92
| Professional | 26 | $255.92 | $255.92 | $255.92 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $554.94 / $554.94 / $703.88
| Professional | TC | $554.94 | $554.94 | $703.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.58 / $128.09 / $340.42
| Facility | | $91.58 | $128.09 | $340.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.49 / $136.00 / $220.44
| Professional | | $40.49 | $136.00 | $220.44 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $30.36 / $38.82 / $103.52
| Professional | 26 | $30.36 | $38.82 | $103.52 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $94.10 / $120.33 / $320.88
| Professional | TC | $94.10 | $120.33 | $320.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.84 / $110.61 / $285.88
| Facility | | $80.84 | $110.61 | $285.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.02 / $96.39 / $169.79
| Professional | | $29.02 | $96.39 | $169.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.52 / $126.00 / $284.25
| Facility | | $91.52 | $126.00 | $284.25 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $30.47 / $30.47 / $30.47
| Facility | 26 | $30.47 | $30.47 | $30.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.25 / $119.32 / $248.38
| Professional | | $88.25 | $119.32 | $248.38 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.88 / $27.35 / $50.65
| Professional | 26 | $21.88 | $27.35 | $50.65 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $64.43 / $82.92 / $158.65
| Professional | TC | $64.43 | $82.92 | $158.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.97 / $166.72 / $250.18
| Facility | | $108.97 | $166.72 | $250.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.41 / $120.76 / $179.89
| Professional | | $94.41 | $120.76 | $179.89 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.91 / $28.87 / $45.35
| Professional | 26 | $22.91 | $28.87 | $45.35 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $71.98 / $90.86 / $142.62
| Professional | TC | $71.98 | $90.86 | $142.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.55 / $101.24 / $144.05
| Professional | | $90.55 | $101.24 | $144.05 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.09 / $25.44 / $35.61
| Professional | 26 | $22.09 | $25.44 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $68.47 / $75.80 / $108.95
| Professional | TC | $68.47 | $75.80 | $108.95 |