- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,412.54 / $1,584.89
| Facility | | $338.84 | $1,412.54 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,606.93 / $6,606.93 / $17,378.01
| Facility | 50 | $6,606.93 | $6,606.93 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $489.78 / $2,137.96
| Professional | | $281.84 | $489.78 | $2,137.96 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $346.74 / $562.34 / $3,090.30
| Professional | 50 | $346.74 | $562.34 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $346.74 / $436.52
| Facility | | $346.74 | $346.74 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.05 / $389.05 / $389.05
| Professional | | $389.05 | $389.05 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $562.34 / $562.34
| Facility | | $34.67 | $562.34 | $562.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $1,479.11 / $7,762.47
| Professional | | $316.23 | $1,479.11 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,471.29 / $19,952.62
| Facility | | $7,079.46 | $10,471.29 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,677.35 / $4,677.35 / $12,022.64
| Facility | 50 | $4,677.35 | $4,677.35 | $12,022.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562.34 / $562.34 / $870.96
| Professional | | $562.34 | $562.34 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $4,466.84 / $15,488.17
| Facility | | $4,466.84 | $4,466.84 | $15,488.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $954.99 / $2,754.23
| Professional | | $316.23 | $954.99 | $2,754.23 |