- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $41.69 / $323.59 / $446.68
| Facility | | $41.69 | $323.59 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- QX
- Typical Low / Median / Typical High
- $794.33 / $794.33 / $794.33
| Facility | QX | $794.33 | $794.33 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Typical Low / Median / Typical High
- $107.15 / $107.15 / $107.15
| Facility | QZ | $107.15 | $107.15 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $380.19 / $549.54 / $977.24
| Professional | AA | $380.19 | $549.54 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $194.98 / $309.03 / $446.68
| Professional | QK | $194.98 | $309.03 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $181.97 / $302.00 / $457.09
| Professional | QX | $181.97 | $302.00 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $239.88 / $323.59 / $457.09
| Professional | QY | $239.88 | $323.59 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $302.00 / $501.19 / $691.83
| Professional | QZ | $302.00 | $501.19 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $120.23 / $181.97 / $389.05
| Professional | AA | $120.23 | $181.97 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- QK
- Typical Low / Median / Typical High
- $48.98 / $97.72 / $257.04
| Professional | QK | $48.98 | $97.72 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $48.98 / $72.44 / $194.98
| Professional | QX | $48.98 | $72.44 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- QY
- Typical Low / Median / Typical High
- $58.88 / $58.88 / $66.07
| Professional | QY | $58.88 | $58.88 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $97.72 / $117.49 / $389.05
| Professional | QZ | $97.72 | $117.49 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $42.66 / $81.28 / $3,019.95
| Facility | | $42.66 | $81.28 | $3,019.95 |
- Facility/Professional
- Facility
- Modifier
- QK
- Typical Low / Median / Typical High
- $39.81 / $39.81 / $39.81
| Facility | QK | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- QX
- Typical Low / Median / Typical High
- $39.81 / $39.81 / $39.81
| Facility | QX | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- QY
- Typical Low / Median / Typical High
- $39.81 / $39.81 / $39.81
| Facility | QY | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $295.12 / $295.12 / $407.38
| Professional | QZ | $295.12 | $295.12 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- AA
- Typical Low / Median / Typical High
- $81.28 / $81.28 / $85.11
| Professional | AA | $81.28 | $81.28 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- QX
- Typical Low / Median / Typical High
- $85.11 / $85.11 / $85.11
| Professional | QX | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Typical Low / Median / Typical High
- $54.95 / $89.13 / $275.42
| Professional | QZ | $54.95 | $89.13 | $275.42 |