- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $434.36 / $1,473.20 / $3,625.00
| Facility | | $434.36 | $1,473.20 | $3,625.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,776.52 / $3,566.62 / $12,453.21
| Facility | 50 | $1,776.52 | $3,566.62 | $12,453.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.28 / $47.37 / $142.56
| Professional | | $32.28 | $47.37 | $142.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.66 / $773.41 / $2,713.00
| Facility | | $74.66 | $773.41 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $97.57 / $1,650.00
| Professional | | $33.90 | $97.57 | $1,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.02 / $46.14 / $92.03
| Facility | | $36.02 | $46.14 | $92.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.92 / $61.74 / $173.66
| Professional | | $25.92 | $61.74 | $173.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.13 / $84.57 / $220.80
| Professional | | $43.13 | $84.57 | $220.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.29 / $168.26 / $6,679.00
| Facility | | $37.29 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.13 / $120.21 / $185.01
| Professional | | $95.13 | $120.21 | $185.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.14 / $100.76 / $248.78
| Professional | | $45.14 | $100.76 | $248.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.21 / $584.73 / $858.17
| Facility | | $195.21 | $584.73 | $858.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.78 / $77.72 / $99.66
| Professional | | $49.78 | $77.72 | $99.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.66 / $953.00 / $2,796.00
| Facility | | $153.66 | $953.00 | $2,796.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.63 / $156.11 / $1,650.00
| Professional | | $47.63 | $156.11 | $1,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.89 / $113.98 / $249.79
| Professional | | $42.89 | $113.98 | $249.79 |