- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.00 / $2,474.75 / $4,767.00
| Facility | | $484.00 | $2,474.75 | $4,767.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $513.23 / $1,894.14 / $7,084.12
| Facility | 50 | $513.23 | $1,894.14 | $7,084.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.82 / $415.62 / $730.49
| Professional | | $275.82 | $415.62 | $730.49 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $141.28 / $616.12 / $1,785.36
| Professional | 50 | $141.28 | $616.12 | $1,785.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.77 / $3,764.00 / $12,379.00
| Facility | | $432.77 | $3,764.00 | $12,379.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.41 / $480.11 / $3,761.00
| Professional | | $197.41 | $480.11 | $3,761.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.83 / $268.88 / $474.47
| Facility | | $206.83 | $268.88 | $474.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $339.18 / $339.18 / $584.33
| Professional | | $339.18 | $339.18 | $584.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $282.10 / $553.01 / $917.06
| Professional | | $282.10 | $553.01 | $917.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $179.79 / $377.14 / $6,679.00
| Facility | | $179.79 | $377.14 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.88 / $430.74 / $770.13
| Professional | | $340.88 | $430.74 | $770.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $225.46 / $485.63 / $808.40
| Professional | | $225.46 | $485.63 | $808.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $578.80 / $2,793.00 / $6,888.51
| Facility | | $578.80 | $2,793.00 | $6,888.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $262.72 / $274.79 / $306.67
| Professional | | $262.72 | $274.79 | $306.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $378.92 / $390.50 / $397.87
| Professional | 50 | $378.92 | $390.50 | $397.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,219.74 / $4,249.00 / $16,394.00
| Facility | | $1,219.74 | $4,249.00 | $16,394.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $385.42 / $676.75 / $3,761.00
| Professional | | $385.42 | $676.75 | $3,761.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,902.00 / $3,764.00 / $8,766.00
| Facility | | $1,902.00 | $3,764.00 | $8,766.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $376.56 / $555.54 / $1,344.08
| Professional | | $376.56 | $555.54 | $1,344.08 |