- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,509.44 / $4,778.89 / $13,841.56
| Facility | | $1,509.44 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $581.94 / $581.94 / $2,479.50
| Facility | 50 | $581.94 | $581.94 | $2,479.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.54 / $1,446.60 / $2,513.67
| Professional | | $280.54 | $1,446.60 | $2,513.67 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $363.31 / $544.96 / $2,360.30
| Professional | 50 | $363.31 | $544.96 | $2,360.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,153.73 / $15,116.17 / $28,376.91
| Facility | | $11,153.73 | $15,116.17 | $28,376.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.54 / $676.22 / $3,049.27
| Professional | | $297.54 | $676.22 | $3,049.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $589.84 / $1,941.70 / $4,391.38
| Professional | | $589.84 | $1,941.70 | $4,391.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $420.81 / $2,353.96 / $3,809.14
| Facility | | $420.81 | $2,353.96 | $3,809.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,339.33 / $1,339.33 / $1,339.33
| Facility | 50 | $1,339.33 | $1,339.33 | $1,339.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,932.00 / $3,195.22 / $12,114.16
| Professional | | $1,932.00 | $3,195.22 | $12,114.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.43 / $3,034.22 / $4,391.38
| Facility | | $715.43 | $3,034.22 | $4,391.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $707.61 / $2,848.36 / $4,362.00
| Professional | | $707.61 | $2,848.36 | $4,362.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $320.93 / $617.16 / $3,572.75
| Professional | | $320.93 | $617.16 | $3,572.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,932.00 / $3,299.25 / $3,898.88
| Professional | | $1,932.00 | $3,299.25 | $3,898.88 |