- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $2,137.96 / $5,128.61
| Facility | | $660.69 | $2,137.96 | $5,128.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $478.63 / $1,071.52 / $3,090.30
| Facility | 50 | $478.63 | $1,071.52 | $3,090.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $64.57 / $186.21
| Professional | | $30.20 | $64.57 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $3,162.28 / $10,471.29
| Facility | | $2,137.96 | $3,162.28 | $10,471.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $91.20 / $138.04
| Professional | | $45.71 | $91.20 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $72.44 / $208.93
| Professional | | $42.66 | $72.44 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $117.49 / $165.96
| Professional | | $57.54 | $117.49 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $363.08 / $524.81
| Facility | | $363.08 | $363.08 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $50.12 / $77.62
| Professional | | $33.88 | $50.12 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,288.25 / $3,890.45 / $6,760.83
| Facility | | $1,288.25 | $3,890.45 | $6,760.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $70.79 / $165.96
| Professional | | $33.88 | $70.79 | $165.96 |