- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $590.04 / $3,034.03 / $6,298.62
| Facility | | $590.04 | $3,034.03 | $6,298.62 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,713.25 / $7,051.52 / $7,082.55
| Facility | 50 | $5,713.25 | $7,051.52 | $7,082.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.49 / $320.31 / $910.04
| Professional | | $205.49 | $320.31 | $910.04 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $1,019.31 / $1,019.31 / $1,019.31
| Professional | 50 | $1,019.31 | $1,019.31 | $1,019.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $444.87 / $558.15 / $862.85
| Professional | | $444.87 | $558.15 | $862.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.92 / $419.20 / $755.20
| Professional | | $185.92 | $419.20 | $755.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $443.95 / $755.28 / $5,163.00
| Facility | | $443.95 | $755.28 | $5,163.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $353.11 / $699.48 / $1,489.04
| Professional | | $353.11 | $699.48 | $1,489.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $465.89 / $705.51 / $1,331.66
| Facility | | $465.89 | $705.51 | $1,331.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.96 / $567.72 / $838.21
| Professional | | $411.96 | $567.72 | $838.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,679.00 / $5,023.00 / $7,305.00
| Facility | | $2,679.00 | $5,023.00 | $7,305.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $335.87 / $671.69 / $950.74
| Professional | | $335.87 | $671.69 | $950.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $407.00 / $478.80 / $719.80
| Professional | | $407.00 | $478.80 | $719.80 |