- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.65 / $3,596.64 / $7,779.54
| Facility | | $1,392.65 | $3,596.64 | $7,779.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,321.60 / $1,321.60 / $14,116.18
| Facility | 50 | $1,321.60 | $1,321.60 | $14,116.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.32 / $505.26 / $1,410.82
| Professional | | $152.32 | $505.26 | $1,410.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $137.62 / $253.41 / $266.37
| Professional | | $137.62 | $253.41 | $266.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $686.29 / $1,530.96 / $2,932.70
| Facility | | $686.29 | $1,530.96 | $2,932.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.57 / $433.06 / $790.58
| Professional | | $141.57 | $433.06 | $790.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $901.20 / $901.20 / $1,158.06
| Facility | | $901.20 | $901.20 | $1,158.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.81 / $474.42 / $1,111.84
| Professional | | $207.81 | $474.42 | $1,111.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $168.10 / $541.66 / $1,162.60
| Facility | | $168.10 | $541.66 | $1,162.60 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $411.39 / $1,302.17 / $1,802.08
| Facility | 50 | $411.39 | $1,302.17 | $1,802.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $421.19 / $797.34 / $958.76
| Professional | | $421.19 | $797.34 | $958.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $384.01 / $523.72 / $801.88
| Professional | | $384.01 | $523.72 | $801.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.00 / $6,607.00 / $8,667.00
| Facility | | $659.00 | $6,607.00 | $8,667.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $568.84 / $768.06 / $1,408.82
| Professional | | $568.84 | $768.06 | $1,408.82 |