- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $241.30 / $1,422.43 / $8,093.19
| Facility | | $241.30 | $1,422.43 | $8,093.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.16 / $1,124.25 / $1,743.22
| Professional | | $234.16 | $1,124.25 | $1,743.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $1,034.58 / $2,027.86
| Facility | | $0.98 | $1,034.58 | $2,027.86 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $1.50 / $1.50
| Facility | 50 | $0.02 | $1.50 | $1.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.20 / $1,504.71 / $4,153.37
| Professional | | $478.20 | $1,504.71 | $4,153.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,613.36 / $4,383.58 / $10,545.29
| Facility | | $2,613.36 | $4,383.58 | $10,545.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $353.32 / $1,119.91 / $4,535.02
| Professional | | $353.32 | $1,119.91 | $4,535.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,433.94 / $3,864.88 / $8,303.37
| Facility | | $2,433.94 | $3,864.88 | $8,303.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $464.87 / $1,495.32 / $4,089.94
| Professional | | $464.87 | $1,495.32 | $4,089.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $305.68 / $851.93 / $2,958.74
| Facility | | $305.68 | $851.93 | $2,958.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,378.26 / $2,756.52 / $8,961.76
| Professional | | $1,378.26 | $2,756.52 | $8,961.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,749.00 / $2,883.00
| Facility | | $563.00 | $1,749.00 | $2,883.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,271.58 / $2,382.61 / $4,969.97
| Professional | | $1,271.58 | $2,382.61 | $4,969.97 |