- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.28 / $306.24 / $776.51
| Facility | | $84.28 | $306.24 | $776.51 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $20.68 / $26.92 / $43.19
| Facility | 26 | $20.68 | $26.92 | $43.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.21 / $86.09 / $305.60
| Professional | | $58.21 | $86.09 | $305.60 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.59 / $31.83 / $122.26
| Professional | 26 | $22.59 | $31.83 | $122.26 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $111.06 / $479.25 / $652.00
| Professional | 50 | $111.06 | $479.25 | $652.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $35.94 / $50.56 / $104.19
| Professional | TC | $35.94 | $50.56 | $104.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.73 / $67.01 / $109.65
| Professional | | $60.73 | $67.01 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $24.68 / $31.52 / $60.15
| Professional | 26 | $24.68 | $31.52 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $82.77 / $98.55 / $246.39
| Professional | 50 | $82.77 | $98.55 | $246.39 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $36.40 / $42.83 / $64.23
| Professional | TC | $36.40 | $42.83 | $64.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.43 / $186.36 / $336.80
| Facility | | $69.43 | $186.36 | $336.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.46 / $60.30 / $86.18
| Professional | | $26.46 | $60.30 | $86.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.68 / $162.88 / $379.54
| Facility | | $84.68 | $162.88 | $379.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.34 / $98.54 / $153.72
| Professional | | $74.34 | $98.54 | $153.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.07 / $78.53 / $80.69
| Facility | | $57.07 | $78.53 | $80.69 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $30.54 / $32.24 / $33.83
| Professional | 26 | $30.54 | $32.24 | $33.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.99 / $205.29 / $358.61
| Facility | | $82.99 | $205.29 | $358.61 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $37.03 / $37.03 / $37.03
| Facility | 26 | $37.03 | $37.03 | $37.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.01 / $90.02 / $164.35
| Professional | | $67.01 | $90.02 | $164.35 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $26.22 / $35.11 / $66.23
| Professional | 26 | $26.22 | $35.11 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $40.60 / $54.66 / $101.50
| Professional | TC | $40.60 | $54.66 | $101.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.03 / $539.87 / $539.87
| Facility | | $175.03 | $539.87 | $539.87 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $76.50 / $158.97 / $158.97
| Facility | 26 | $76.50 | $158.97 | $158.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $546.22 / $546.22 / $707.78
| Professional | | $546.22 | $546.22 | $707.78 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $203.94 / $203.94 / $262.50
| Professional | 26 | $203.94 | $203.94 | $262.50 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $342.28 / $342.28 / $445.28
| Professional | TC | $342.28 | $342.28 | $445.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.69 / $97.63 / $317.62
| Facility | | $67.69 | $97.63 | $317.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.22 / $115.02 / $230.30
| Professional | | $54.22 | $115.02 | $230.30 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $36.81 / $50.21 / $96.37
| Professional | 26 | $36.81 | $50.21 | $96.37 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $85.20 / $135.00 / $589.95
| Professional | 50 | $85.20 | $135.00 | $589.95 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $59.56 / $76.17 / $203.12
| Professional | TC | $59.56 | $76.17 | $203.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.50 / $236.05 / $621.00
| Facility | | $172.50 | $236.05 | $621.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.64 / $57.70 / $123.91
| Professional | | $31.64 | $57.70 | $123.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.01 / $94.60 / $220.68
| Facility | | $67.01 | $94.60 | $220.68 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $37.03 / $37.03 / $37.03
| Facility | 26 | $37.03 | $37.03 | $37.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.05 / $91.78 / $191.66
| Professional | | $68.05 | $91.78 | $191.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $26.58 / $33.85 / $61.69
| Professional | 26 | $26.58 | $33.85 | $61.69 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $40.60 / $52.86 / $95.97
| Professional | TC | $40.60 | $52.86 | $95.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.90 / $123.78 / $185.87
| Facility | | $80.90 | $123.78 | $185.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.31 / $93.60 / $140.02
| Professional | | $71.31 | $93.60 | $140.02 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $27.72 / $36.39 / $54.43
| Professional | 26 | $27.72 | $36.39 | $54.43 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $41.93 / $56.76 / $82.92
| Professional | TC | $41.93 | $56.76 | $82.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.12 / $78.83 / $111.52
| Professional | | $70.12 | $78.83 | $111.52 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $26.78 / $30.85 / $43.19
| Professional | 26 | $26.78 | $30.85 | $43.19 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $43.34 / $47.99 / $68.98
| Professional | TC | $43.34 | $47.99 | $68.98 |