- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,019.95 / $10,471.29 / $31,622.78
| Facility | | $3,019.95 | $10,471.29 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,248.07 / $11,220.18 / $32,359.37
| Facility | 50 | $5,248.07 | $11,220.18 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $645.65 / $1,905.46
| Professional | | $380.19 | $645.65 | $1,905.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $467.74 / $831.76
| Professional | | $109.65 | $467.74 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $8,317.64 / $30,199.52
| Facility | | $741.31 | $8,317.64 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $891.25 / $891.25 / $891.25
| Facility | 22 | $891.25 | $891.25 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Facility | AS | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $575.44 / $954.99
| Professional | | $380.19 | $575.44 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $11,748.98 / $22,908.68
| Facility | | $5,495.41 | $11,748.98 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $389.05 / $524.81
| Professional | | $213.80 | $389.05 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $562.34
| Professional | | $32.36 | $33.11 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,715.35 / $11,748.98 / $18,620.87
| Facility | | $3,715.35 | $11,748.98 | $18,620.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $446.68 / $776.25
| Professional | | $323.59 | $446.68 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $338.84 / $446.68
| Professional | | $338.84 | $338.84 | $446.68 |