- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.86 / $343.14 / $2,966.28
| Facility | | $252.86 | $343.14 | $2,966.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.85 / $333.36 / $524.08
| Professional | | $235.85 | $333.36 | $524.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,199.68 / $5,996.13 / $13,546.10
| Facility | | $1,199.68 | $5,996.13 | $13,546.10 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,691.53 / $13,186.96 / $23,122.16
| Facility | 50 | $8,691.53 | $13,186.96 | $23,122.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466.11 / $773.62 / $1,190.70
| Professional | | $466.11 | $773.62 | $1,190.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $813.63 / $1,153.82 / $2,775.68
| Facility | | $813.63 | $1,153.82 | $2,775.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $547.65 / $959.35 / $1,408.90
| Professional | | $547.65 | $959.35 | $1,408.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $661.42 / $1,054.86 / $2,185.58
| Facility | | $661.42 | $1,054.86 | $2,185.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $486.24 / $801.33 / $1,303.61
| Professional | | $486.24 | $801.33 | $1,303.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.45 / $576.89 / $4,978.60
| Facility | | $335.45 | $576.89 | $4,978.60 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.54 / $0.54 / $7,461.00
| Facility | 50 | $0.54 | $0.54 | $7,461.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $443.67 / $918.45 / $1,980.00
| Professional | | $443.67 | $918.45 | $1,980.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $449.37 / $871.82 / $1,332.65
| Professional | | $449.37 | $871.82 | $1,332.65 |