- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.27 / $1,103.17 / $9,130.45
| Facility | | $436.27 | $1,103.17 | $9,130.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $364.50 / $436.27 / $2,879.04
| Professional | | $364.50 | $436.27 | $2,879.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,026.19 / $6,498.99 / $13,546.10
| Facility | | $2,026.19 | $6,498.99 | $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
- $750.99 / $1,157.71 / $1,624.41
| Professional | | $750.99 | $1,157.71 | $1,624.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.34 / $1,473.93 / $3,545.74
| Facility | | $1,039.34 | $1,473.93 | $3,545.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $847.03 / $1,422.06 / $2,032.14
| Professional | | $847.03 | $1,422.06 | $2,032.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $844.92 / $1,347.53 / $2,791.93
| Facility | | $844.92 | $1,347.53 | $2,791.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $745.73 / $1,276.17 / $1,691.20
| Professional | | $745.73 | $1,276.17 | $1,691.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.23 / $2,173.37 / $7,729.00
| Facility | | $521.23 | $2,173.37 | $7,729.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.55 / $2,753.58 / $5,152.50
| Facility | 50 | $0.55 | $2,753.58 | $5,152.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $582.09 / $1,054.30 / $1,769.19
| Professional | | $582.09 | $1,054.30 | $1,769.19 |
- 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
- $582.09 / $1,152.69 / $1,718.02
| Professional | | $582.09 | $1,152.69 | $1,718.02 |