- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $5,495.41 / $7,762.47
| Facility | | $4,466.84 | $5,495.41 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $1,737.80 / $3,801.89
| Professional | | $426.58 | $1,737.80 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $8,317.64 / $28,840.32
| Facility | | $2,754.23 | $8,317.64 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,168.69 / $10,232.93 / $44,668.36
| Facility | 50 | $4,168.69 | $10,232.93 | $44,668.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $707.95 / $2,570.40 / $3,162.28
| Professional | | $707.95 | $2,570.40 | $3,162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549.54 / $776.25 / $3,548.13
| Professional | | $549.54 | $776.25 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $2,187.76 / $6,918.31
| Facility | | $501.19 | $2,187.76 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $575.44 / $2,187.76 / $3,890.45
| Professional | | $575.44 | $2,187.76 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $24,547.09 / $37,153.52
| Facility | | $19,498.45 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $29,512.09 / $41,686.94 / $54,954.09
| Facility | 50 | $29,512.09 | $41,686.94 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $741.31 / $812.83 / $3,630.78
| Professional | | $741.31 | $812.83 | $3,630.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $758.58 / $1,479.11 / $21,877.62
| Professional | | $758.58 | $1,479.11 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $26,915.35 / $29,512.09
| Facility | | $11,748.98 | $26,915.35 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.52 / $1,584.89 / $3,981.07
| Professional | | $436.52 | $1,584.89 | $3,981.07 |