- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $3,890.45 / $8,128.31
| Facility | | $1,778.28 | $3,890.45 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,412.54 / $3,548.13 / $7,762.47
| Facility | 50 | $1,412.54 | $3,548.13 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $354.81 / $676.08
| Professional | | $158.49 | $354.81 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $75.86 / $478.63 / $1,230.27
| Professional | 50 | $75.86 | $478.63 | $1,230.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $371.54 / $616.60
| Professional | | $213.80 | $371.54 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $977.24
| Professional | | $32.36 | $33.11 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $5,370.32 / $12,022.64
| Facility | | $4,570.88 | $5,370.32 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,760.83 / $7,943.28 / $18,197.01
| Facility | 50 | $6,760.83 | $7,943.28 | $18,197.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $457.09 / $891.25
| Professional | | $257.04 | $457.09 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $346.74 / $691.83
| Professional | | $190.55 | $346.74 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $398.11 / $645.65
| Professional | | $229.09 | $398.11 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $5,128.61 / $7,079.46
| Facility | | $1,995.26 | $5,128.61 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $371.54 / $645.65
| Professional | | $177.83 | $371.54 | $645.65 |