- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $12,882.50 / $24,547.09
| Facility | | $3,388.44 | $12,882.50 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,128.61 / $23,988.33 / $26,915.35
| Facility | 50 | $5,128.61 | $23,988.33 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $676.08 / $1,621.81
| Professional | | $380.19 | $676.08 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $8,317.64 / $14,791.08
| Facility | | $3,311.31 | $8,317.64 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,897.79 / $11,481.54 / $22,387.21
| Facility | 50 | $4,897.79 | $11,481.54 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $707.95 / $831.76 / $851.14
| Professional | | $707.95 | $831.76 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.52 / $630.96 / $891.25
| Professional | | $436.52 | $630.96 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $794.33 / $14,125.38
| Facility | | $457.09 | $794.33 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,128.61 / $20,892.96 / $26,302.68
| Facility | 50 | $5,128.61 | $20,892.96 | $26,302.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $741.31 / $1,148.15
| Professional | | $426.58 | $741.31 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $12,882.50 / $18,197.01
| Facility | | $9,772.37 | $12,882.50 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $14,791.08 / $20,892.96 / $27,542.29
| Facility | 50 | $14,791.08 | $20,892.96 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $630.96 / $831.76 / $912.01
| Professional | | $630.96 | $831.76 | $912.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $426.58 / $10,232.93
| Professional | | $380.19 | $426.58 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $26,915.35 / $29,512.09
| Facility | | $11,748.98 | $26,915.35 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $588.84 / $891.25
| Professional | | $426.58 | $588.84 | $891.25 |