- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.97 / $418.76 / $2,042.00
| Facility | | $34.97 | $418.76 | $2,042.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $650.01 / $650.01 / $2,974.50
| Facility | 50 | $650.01 | $650.01 | $2,974.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.97 / $55.07 / $180.00
| Professional | | $34.97 | $55.07 | $180.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $50.27 / $185.57 / $390.45
| Professional | 50 | $50.27 | $185.57 | $390.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $383.28 / $683.10 / $1,161.83
| Facility | | $383.28 | $683.10 | $1,161.83 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $675.36 / $1,024.66 / $1,796.66
| Facility | 50 | $675.36 | $1,024.66 | $1,796.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.16 / $119.24 / $190.04
| Professional | | $66.16 | $119.24 | $190.04 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $97.68 / $169.53 / $276.51
| Professional | 50 | $97.68 | $169.53 | $276.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.01 / $188.72 / $453.99
| Facility | | $133.01 | $188.72 | $453.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.95 / $129.26 / $227.32
| Professional | | $74.95 | $129.26 | $227.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.33 / $172.54 / $357.48
| Facility | | $116.33 | $172.54 | $357.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.56 / $115.26 / $207.28
| Professional | | $73.56 | $115.26 | $207.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.26 / $79.37 / $474.98
| Facility | | $43.26 | $79.37 | $474.98 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.73 / $1,020.78 / $3,083.85
| Facility | 50 | $0.73 | $1,020.78 | $3,083.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.76 / $128.41 / $265.92
| Professional | | $61.76 | $128.41 | $265.92 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $146.69 / $241.88 / $395.55
| Professional | 50 | $146.69 | $241.88 | $395.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.00 / $1,727.00 / $2,883.00
| Facility | | $382.00 | $1,727.00 | $2,883.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.55 / $92.88 / $189.69
| Professional | | $55.55 | $92.88 | $189.69 |