- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.23 / $614.92 / $2,168.00
| Facility | | $67.23 | $614.92 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,105.94 / $11,059.20 / $11,059.20
| Facility | 50 | $1,105.94 | $11,059.20 | $11,059.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.12 / $172.90 / $372.78
| Professional | | $64.12 | $172.90 | $372.78 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $93.69 / $93.69 / $229.60
| Professional | 50 | $93.69 | $93.69 | $229.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $96.75 / $282.70
| Facility | | $0.98 | $96.75 | $282.70 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $1.50 / $1.50
| Facility | 50 | $0.02 | $1.50 | $1.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.25 / $319.86 / $785.16
| Professional | | $140.25 | $319.86 | $785.16 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $207.23 / $431.60 / $1,177.74
| Professional | 50 | $207.23 | $431.60 | $1,177.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.19 / $828.94 / $1,994.12
| Facility | | $494.19 | $828.94 | $1,994.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.02 / $267.64 / $857.49
| Professional | | $99.02 | $267.64 | $857.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $460.26 / $730.85 / $1,570.18
| Facility | | $460.26 | $730.85 | $1,570.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.41 / $337.68 / $783.15
| Professional | | $140.41 | $337.68 | $783.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.63 / $226.22 / $579.54
| Facility | | $90.63 | $226.22 | $579.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,236.59 / $1,236.59 / $1,411.43
| Facility | 50 | $1,236.59 | $1,236.59 | $1,411.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.72 / $468.93 / $3,229.91
| Professional | | $216.72 | $468.93 | $3,229.91 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $135.76 / $944.08 / $1,037.09
| Professional | 50 | $135.76 | $944.08 | $1,037.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.89 / $375.78 / $1,442.74
| Professional | | $175.89 | $375.78 | $1,442.74 |