- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.84 / $3,489.13 / $7,273.35
| Facility | | $1,759.84 | $3,489.13 | $7,273.35 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,632.00 / $7,317.07 / $7,317.07
| Facility | 50 | $1,632.00 | $7,317.07 | $7,317.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.53 / $472.03 / $1,433.08
| Professional | | $142.53 | $472.03 | $1,433.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $755.71 / $889.07 / $889.07
| Professional | | $755.71 | $889.07 | $889.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.31 / $3,250.33 / $6,101.70
| Facility | | $2,398.31 | $3,250.33 | $6,101.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $149.19 / $339.06 / $933.05
| Professional | | $149.19 | $339.06 | $933.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $362.05 / $1,048.03 / $1,623.17
| Professional | | $362.05 | $1,048.03 | $1,623.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.30 / $1,238.00 / $2,879.22
| Facility | | $242.30 | $1,238.00 | $2,879.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $712.93 / $1,256.11 / $1,850.28
| Professional | | $712.93 | $1,256.11 | $1,850.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.10 / $1,062.42 / $1,619.50
| Facility | | $371.10 | $1,062.42 | $1,619.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $329.69 / $1,048.03 / $1,538.18
| Professional | | $329.69 | $1,048.03 | $1,538.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $783.50 / $1,407.70
| Professional | | $3.00 | $783.50 | $1,407.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $712.93 / $1,219.25 / $1,765.33
| Professional | | $712.93 | $1,219.25 | $1,765.33 |