- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.63 / $1,418.00 / $3,363.00
| Facility | | $190.63 | $1,418.00 | $3,363.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $280.86 / $882.48 / $1,207.83
| Facility | 50 | $280.86 | $882.48 | $1,207.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.61 / $188.65 / $532.57
| Professional | | $66.61 | $188.65 | $532.57 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $55.99 / $300.10 / $473.83
| Professional | 50 | $55.99 | $300.10 | $473.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.50 / $627.00 / $7,231.00
| Facility | | $184.50 | $627.00 | $7,231.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.49 / $321.95 / $1,723.12
| Professional | | $91.49 | $321.95 | $1,723.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.16 / $113.31 / $222.26
| Facility | | $87.16 | $113.31 | $222.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $119.23 / $222.71 / $613.15
| Professional | | $119.23 | $222.71 | $613.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.87 / $322.31 / $712.45
| Professional | | $118.87 | $322.31 | $712.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $300.00 / $6,679.00
| Facility | | $83.43 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.16 / $352.76 / $518.19
| Professional | | $279.16 | $352.76 | $518.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.41 / $258.33 / $655.04
| Professional | | $97.41 | $258.33 | $655.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.89 / $280.89 / $280.89
| Facility | | $280.89 | $280.89 | $280.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.64 / $182.33 / $392.12
| Professional | | $110.64 | $182.33 | $392.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.74 / $2,028.00 / $12,000.00
| Facility | | $523.74 | $2,028.00 | $12,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $255.54 / $618.59 / $1,723.12
| Professional | | $255.54 | $618.59 | $1,723.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $3,445.00
| Facility | | $627.00 | $1,818.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $225.30 / $365.43 / $792.06
| Professional | | $225.30 | $365.43 | $792.06 |