- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.00 / $4,756.00 / $9,906.39
| Facility | | $1,346.00 | $4,756.00 | $9,906.39 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,909.65 / $6,446.00 / $6,446.00
| Facility | 50 | $3,909.65 | $6,446.00 | $6,446.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $557.00 / $567.15 / $744.42
| Professional | | $557.00 | $567.15 | $744.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.94 / $571.40 / $826.30
| Professional | | $467.94 | $571.40 | $826.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,602.87 / $8,785.64 / $13,706.31
| Facility | | $5,602.87 | $8,785.64 | $13,706.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $519.04 / $697.90 / $753.37
| Professional | | $519.04 | $697.90 | $753.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,545.78 / $2,545.78 / $2,545.78
| Facility | | $2,545.78 | $2,545.78 | $2,545.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $580.99 / $774.39 / $1,026.72
| Professional | | $580.99 | $774.39 | $1,026.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $567.15 / $922.53 / $6,840.79
| Facility | | $567.15 | $922.53 | $6,840.79 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $140.08 / $849.00 / $849.00
| Facility | AS | $140.08 | $849.00 | $849.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.55 / $647.45 / $5,283.53
| Professional | | $478.55 | $647.45 | $5,283.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.00 / $4,054.00 / $7,077.94
| Facility | | $1,157.00 | $4,054.00 | $7,077.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $450.40 / $597.41 / $848.44
| Professional | | $450.40 | $597.41 | $848.44 |