- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $630.96 / $1,621.81
| Facility | | $173.78 | $630.96 | $1,621.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $141.25 / $389.05
| Professional | | $48.98 | $141.25 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $17.38 / $169.82 / $575.44
| Professional | 50 | $17.38 | $169.82 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $302.00 / $724.44
| Facility | | $1.00 | $302.00 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $0.02 / $0.02
| Facility | 50 | $0.02 | $0.02 | $0.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $204.17 / $512.86
| Professional | | $89.13 | $204.17 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $134.90 / $295.12 / $741.31
| Professional | 50 | $134.90 | $295.12 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $616.60 / $1,479.11
| Facility | | $354.81 | $616.60 | $1,479.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $194.98 / $588.84
| Professional | | $70.79 | $194.98 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $588.84 / $1,148.15
| Facility | | $467.74 | $588.84 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.15 / $234.42 / $602.56
| Professional | | $107.15 | $234.42 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $173.78 / $512.86
| Facility | | $52.48 | $173.78 | $512.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $338.84 / $1,778.28
| Professional | | $151.36 | $338.84 | $1,778.28 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $389.05 / $389.05 / $724.44
| Professional | 50 | $389.05 | $389.05 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,862.09 / $3,715.35
| Facility | | $602.56 | $1,862.09 | $3,715.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $158.49 / $446.68
| Professional | | $56.23 | $158.49 | $446.68 |