- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,132.00 / $2,472.00 / $7,910.46
| Facility | | $1,132.00 | $2,472.00 | $7,910.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,236.00 / $1,236.00 / $3,414.00
| Facility | 50 | $1,236.00 | $1,236.00 | $3,414.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $438.93 / $492.94 / $2,230.00
| Professional | | $438.93 | $492.94 | $2,230.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $240.63 / $481.26 / $481.26
| Professional | | $240.63 | $481.26 | $481.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,072.00 / $3,931.00 / $5,258.00
| Facility | | $3,072.00 | $3,931.00 | $5,258.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $519.01 / $576.10 / $850.85
| Professional | | $519.01 | $576.10 | $850.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.01 / $882.01 / $882.01
| Facility | | $882.01 | $882.01 | $882.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.73 / $611.27 / $901.00
| Professional | | $426.73 | $611.27 | $901.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $574.97 / $1,002.60
| Professional | | $6.80 | $574.97 | $1,002.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,768.74 / $1,768.74 / $1,768.74
| Facility | | $1,768.74 | $1,768.74 | $1,768.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $506.59 / $1,367.18
| Professional | | $5.09 | $506.59 | $1,367.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,642.00 / $3,060.00 / $9,042.00
| Facility | | $1,642.00 | $3,060.00 | $9,042.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $440.21 / $580.90 / $896.05
| Professional | | $440.21 | $580.90 | $896.05 |