- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.52 / $567.58 / $1,339.20
| Facility | | $98.52 | $567.58 | $1,339.20 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $24.63 / $31.89 / $50.78
| Facility | 26 | $24.63 | $31.89 | $50.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.10 / $136.32 / $505.50
| Professional | | $82.10 | $136.32 | $505.50 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $26.90 / $39.22 / $148.80
| Professional | 26 | $26.90 | $39.22 | $148.80 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $55.20 / $87.86 / $183.46
| Professional | TC | $55.20 | $87.86 | $183.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.33 / $96.33 / $136.00
| Professional | | $79.33 | $96.33 | $136.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $28.32 / $36.27 / $70.73
| Professional | 26 | $28.32 | $36.27 | $70.73 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $49.64 / $60.43 / $85.09
| Professional | TC | $49.64 | $60.43 | $85.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.05 / $293.02 / $525.66
| Facility | | $121.05 | $293.02 | $525.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.10 / $82.14 / $115.83
| Professional | | $31.10 | $82.14 | $115.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.66 / $212.68 / $1,490.24
| Facility | | $111.66 | $212.68 | $1,490.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.46 / $134.22 / $209.00
| Professional | | $96.46 | $134.22 | $209.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.79 / $106.82 / $110.21
| Facility | | $101.79 | $106.82 | $110.21 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $35.90 / $38.24 / $79.51
| Professional | 26 | $35.90 | $38.24 | $79.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.73 / $307.95 / $542.40
| Facility | | $110.73 | $307.95 | $542.40 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $43.62 / $43.62 / $43.62
| Facility | 26 | $43.62 | $43.62 | $43.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.56 / $129.19 / $246.66
| Professional | | $94.56 | $129.19 | $246.66 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $31.31 / $41.12 / $77.93
| Professional | 26 | $31.31 | $41.12 | $77.93 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $63.08 / $88.65 / $172.16
| Professional | TC | $63.08 | $88.65 | $172.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.78 / $611.17 / $611.17
| Facility | | $252.78 | $611.17 | $611.17 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $100.00 / $187.10 / $187.10
| Facility | 26 | $100.00 | $187.10 | $187.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $760.68 / $760.68 / $966.00
| Professional | | $760.68 | $760.68 | $966.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $303.79 / $303.79 / $307.35
| Professional | 26 | $303.79 | $303.79 | $307.35 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $518.02 / $518.02 / $658.65
| Professional | TC | $518.02 | $518.02 | $658.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.91 / $156.00 / $548.24
| Facility | | $101.91 | $156.00 | $548.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.79 / $145.50 / $248.12
| Professional | | $53.79 | $145.50 | $248.12 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $43.26 / $55.32 / $147.52
| Professional | 26 | $43.26 | $55.32 | $147.52 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $88.02 / $112.56 / $300.16
| Professional | TC | $88.02 | $112.56 | $300.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.56 / $103.39 / $285.88
| Facility | | $75.56 | $103.39 | $285.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.58 / $90.17 / $182.14
| Professional | | $41.58 | $90.17 | $182.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.20 / $152.77 / $295.68
| Facility | | $99.20 | $152.77 | $295.68 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $43.62 / $43.62 / $43.62
| Facility | 26 | $43.62 | $43.62 | $43.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.33 / $133.47 / $287.36
| Professional | | $96.33 | $133.47 | $287.36 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $31.31 / $39.49 / $73.34
| Professional | 26 | $31.31 | $39.49 | $73.34 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $63.08 / $86.14 / $169.86
| Professional | TC | $63.08 | $86.14 | $169.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.07 / $131.49 / $200.37
| Professional | | $101.07 | $131.49 | $200.37 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $32.94 / $42.53 / $65.75
| Professional | 26 | $32.94 | $42.53 | $65.75 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $68.95 / $90.04 / $133.31
| Professional | TC | $68.95 | $90.04 | $133.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.52 / $107.18 / $151.94
| Professional | | $95.52 | $107.18 | $151.94 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $31.48 / $36.27 / $50.78
| Professional | 26 | $31.48 | $36.27 | $50.78 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $64.04 / $70.91 / $101.91
| Professional | TC | $64.04 | $70.91 | $101.91 |