- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,098.00 / $4,182.08 / $11,100.08
| Facility | | $1,098.00 | $4,182.08 | $11,100.08 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,257.40 / $2,257.40 / $2,365.79
| Facility | 50 | $2,257.40 | $2,257.40 | $2,365.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.92 / $461.84 / $1,136.26
| Professional | | $230.92 | $461.84 | $1,136.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.87 / $397.53 / $935.87
| Professional | | $316.87 | $397.53 | $935.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,904.89 / $9,357.90 / $17,567.16
| Facility | | $6,904.89 | $9,357.90 | $17,567.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $381.29 / $649.91 / $866.55
| Professional | | $381.29 | $649.91 | $866.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $794.56 / $987.42 / $1,280.39
| Professional | | $794.56 | $987.42 | $1,280.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.68 / $899.32 / $6,451.00
| Facility | | $451.68 | $899.32 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,094.50 / $2,094.50 / $2,094.50
| Facility | 50 | $2,094.50 | $2,094.50 | $2,094.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524.00 / $974.72 / $3,301.00
| Professional | | $524.00 | $974.72 | $3,301.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.56 / $987.42 / $2,865.45
| Facility | | $794.56 | $987.42 | $2,865.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $650.03 / $977.42 / $1,280.39
| Professional | | $650.03 | $977.42 | $1,280.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480.25 / $733.27 / $943.90
| Professional | | $480.25 | $733.27 | $943.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $564.30 / $939.34 / $1,147.88
| Professional | | $564.30 | $939.34 | $1,147.88 |