- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $1,548.82 / $7,079.46
| Facility | | $186.21 | $1,548.82 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $891.25 / $3,388.44 / $6,918.31
| Facility | 50 | $891.25 | $3,388.44 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $316.23 / $794.33
| Professional | | $158.49 | $316.23 | $794.33 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $66.07 / $346.74 / $1,318.26
| Professional | 50 | $66.07 | $346.74 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $154.88 / $707.95
| Professional | | $79.43 | $154.88 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $123.03 / $181.97 / $446.68
| Professional | 50 | $123.03 | $181.97 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $467.74 / $1,023.29
| Professional | | $275.42 | $467.74 | $1,023.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $436.52 / $758.58
| Professional | | $229.09 | $436.52 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $331.13 / $741.31
| Facility | | $173.78 | $331.13 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $5,623.41 / $8,511.38
| Facility | | $5,623.41 | $5,623.41 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $416.87 / $1,122.02
| Professional | | $5.01 | $416.87 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $7,244.36 / $10,471.29
| Facility | | $2,454.71 | $7,244.36 | $10,471.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $416.87 / $741.31
| Professional | | $186.21 | $416.87 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $7,943.28 / $28,840.32
| Facility | | $7,943.28 | $7,943.28 | $28,840.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,801.89 / $3,801.89 / $3,801.89
| Professional | | $3,801.89 | $3,801.89 | $3,801.89 |