- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.27 / $542.97 / $1,236.26
| Facility | | $48.27 | $542.97 | $1,236.26 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $19.36 / $24.82 / $40.20
| Facility | 26 | $19.36 | $24.82 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.02 / $76.84 / $299.00
| Professional | | $41.02 | $76.84 | $299.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $21.20 / $30.80 / $117.31
| Professional | 26 | $21.20 | $30.80 | $117.31 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $18.13 / $26.74 / $184.73
| Professional | TC | $18.13 | $26.74 | $184.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.70 / $46.99 / $71.86
| Professional | | $38.70 | $46.99 | $71.86 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $22.95 / $30.16 / $54.25
| Professional | 26 | $22.95 | $30.16 | $54.25 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $26.59 / $26.59 / $26.59
| Professional | TC | $26.59 | $26.59 | $26.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.78 / $53.24 / $122.37
| Facility | | $30.78 | $53.24 | $122.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $45.38 / $60.99
| Professional | | $24.55 | $45.38 | $60.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.57 / $191.76 / $616.87
| Facility | | $63.57 | $191.76 | $616.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.81 / $69.09 / $145.38
| Professional | | $51.81 | $69.09 | $145.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.76 / $54.98 / $62.21
| Facility | | $31.76 | $54.98 | $62.21 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $28.39 / $31.01 / $31.76
| Professional | 26 | $28.39 | $31.01 | $31.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.52 / $784.31 / $869.98
| Facility | | $308.52 | $784.31 | $869.98 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $34.51 / $34.51 / $34.51
| Facility | 26 | $34.51 | $34.51 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.99 / $86.47 / $285.92
| Professional | | $46.99 | $86.47 | $285.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $24.73 / $33.15 / $62.67
| Professional | 26 | $24.73 | $33.15 | $62.67 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.84 / $38.07 / $225.02
| Professional | TC | $20.84 | $38.07 | $225.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.22 / $889.98 / $889.98
| Facility | | $269.22 | $889.98 | $889.98 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $98.17 / $261.98 / $261.98
| Facility | 26 | $98.17 | $261.98 | $261.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $947.00 / $947.00 / $953.33
| Professional | | $947.00 | $947.00 | $953.33 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $368.00 / $368.00 / $368.00
| Professional | 26 | $368.00 | $368.00 | $368.00 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $758.00 / $758.00 / $758.00
| Professional | TC | $758.00 | $758.00 | $758.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.46 / $148.99 / $288.22
| Facility | | $49.46 | $148.99 | $288.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.52 / $80.15 / $229.00
| Professional | | $49.52 | $80.15 | $229.00 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $36.39 / $43.67 / $68.53
| Professional | 26 | $36.39 | $43.67 | $68.53 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $33.01 / $42.21 / $112.56
| Professional | TC | $33.01 | $42.21 | $112.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,542.15 / $5,331.33 / $12,361.00
| Facility | | $3,542.15 | $5,331.33 | $12,361.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.52 / $52.20 / $115.14
| Professional | | $30.52 | $52.20 | $115.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.46 / $139.80 / $275.16
| Facility | | $49.46 | $139.80 | $275.16 |
- Facility/Professional
- Facility
- Modifier
- 26
- Low / Median / High Price
- $34.51 / $34.51 / $34.51
| Facility | 26 | $34.51 | $34.51 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.84 / $92.74 / $285.92
| Professional | | $47.84 | $92.74 | $285.92 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $24.82 / $32.11 / $61.20
| Professional | 26 | $24.82 | $32.11 | $61.20 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $20.84 / $33.85 / $246.71
| Professional | TC | $20.84 | $33.85 | $246.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.70 / $70.16 / $210.55
| Professional | | $49.70 | $70.16 | $210.55 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $25.99 / $34.44 / $51.97
| Professional | 26 | $25.99 | $34.44 | $51.97 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $22.09 / $32.38 / $173.59
| Professional | TC | $22.09 | $32.38 | $173.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.86 / $55.28 / $77.72
| Professional | | $48.86 | $55.28 | $77.72 |
- Facility/Professional
- Professional
- Modifier
- 26
- Low / Median / High Price
- $24.84 / $28.69 / $40.17
| Professional | 26 | $24.84 | $28.69 | $40.17 |
- Facility/Professional
- Professional
- Modifier
- TC
- Low / Median / High Price
- $24.02 / $26.59 / $38.21
| Professional | TC | $24.02 | $26.59 | $38.21 |