- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $2,570.40 / $4,073.80
| Facility | | $512.86 | $2,570.40 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,244.36 / $7,244.36 / $7,244.36
| Facility | 50 | $7,244.36 | $7,244.36 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $489.78 / $2,570.40
| Professional | | $134.90 | $489.78 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $3,235.94 / $7,413.10
| Facility | | $954.99 | $3,235.94 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,801.89 / $6,760.83 / $17,378.01
| Facility | 50 | $3,801.89 | $6,760.83 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $616.60 / $1,513.56
| Professional | | $257.04 | $616.60 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $1,862.09 / $4,466.84
| Facility | | $1,288.25 | $1,862.09 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.74 / $831.76 / $2,089.30
| Professional | | $346.74 | $831.76 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $1,778.28 / $3,548.13
| Facility | | $1,445.44 | $1,778.28 | $3,548.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $724.44 / $1,819.70
| Professional | | $323.59 | $724.44 | $1,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $1,862.09 / $3,235.94
| Facility | | $426.58 | $1,862.09 | $3,235.94 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,818.38 / $2,818.38 / $6,025.60
| Facility | 50 | $2,818.38 | $2,818.38 | $6,025.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $758.58 / $1,348.96 / $2,511.89
| Professional | | $758.58 | $1,348.96 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $4,168.69 / $6,760.83
| Facility | | $1,584.89 | $4,168.69 | $6,760.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.42 / $645.65 / $1,905.46
| Professional | | $234.42 | $645.65 | $1,905.46 |