- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $515.76 / $862.46 / $8,854.79
| Facility | | $515.76 | $862.46 | $8,854.79 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,414.23 / $7,007.71 / $10,953.60
| Facility | 50 | $1,414.23 | $7,007.71 | $10,953.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.32 / $433.42 / $724.76
| Professional | | $239.32 | $433.42 | $724.76 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $313.01 / $313.01 / $476.76
| Professional | 50 | $313.01 | $313.01 | $476.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.71 / $337.17 / $500.36
| Professional | | $246.71 | $337.17 | $500.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.32 / $459.43 / $899.75
| Facility | | $239.32 | $459.43 | $899.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $286.61 / $347.40 / $575.12
| Professional | | $286.61 | $347.40 | $575.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $78.00 / $514.16
| Professional | | $30.00 | $78.00 | $514.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,040.66 / $7,582.86 / $9,755.03
| Facility | | $5,040.66 | $7,582.86 | $9,755.03 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,857.43 / $11,374.29 / $15,212.33
| Facility | 50 | $6,857.43 | $11,374.29 | $15,212.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.92 / $360.70 / $593.85
| Professional | | $334.92 | $360.70 | $593.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,550.00 / $12,152.00 / $12,233.00
| Facility | | $5,550.00 | $12,152.00 | $12,233.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.02 / $573.66 / $764.45
| Professional | | $307.02 | $573.66 | $764.45 |