- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,171.96 / $1,210.56 / $3,530.82
| Facility | | $1,171.96 | $1,210.56 | $3,530.82 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $943.30 / $943.30 / $1,528.68
| Facility | 50 | $943.30 | $943.30 | $1,528.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $148.08 / $193.93 / $254.60
| Professional | | $148.08 | $193.93 | $254.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.24 / $209.54 / $302.67
| Professional | | $190.24 | $209.54 | $302.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $285.36 / $314.31 / $454.00
| Professional | 50 | $285.36 | $314.31 | $454.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.18 / $238.43 / $339.90
| Professional | | $195.18 | $238.43 | $339.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.37 / $228.44 / $350.44
| Professional | | $177.37 | $228.44 | $350.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,210.56 / $1,210.56 / $3,530.82
| Facility | | $1,210.56 | $1,210.56 | $3,530.82 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $943.30 / $943.30 / $1,528.68
| Facility | 50 | $943.30 | $943.30 | $1,528.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $148.08 / $193.93 / $295.01
| Professional | | $148.08 | $193.93 | $295.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.12 / $230.67 / $315.79
| Professional | | $190.12 | $230.67 | $315.79 |