- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.74 / $4,901.70 / $13,069.67
| Facility | | $1,621.74 | $4,901.70 | $13,069.67 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,449.60 / $8,513.28 / $20,324.74
| Facility | 50 | $3,449.60 | $8,513.28 | $20,324.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $375.64 / $563.17 / $1,824.00
| Professional | | $375.64 | $563.17 | $1,824.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $463.73 / $665.84 / $888.81
| Professional | | $463.73 | $665.84 | $888.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,531.00 / $5,295.00 / $9,272.00
| Facility | | $2,531.00 | $5,295.00 | $9,272.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $395.22 / $555.20 / $889.13
| Professional | | $395.22 | $555.20 | $889.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $493.18 / $2,813.00 / $3,959.16
| Facility | | $493.18 | $2,813.00 | $3,959.16 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $48.91 / $48.91 / $48.91
| Facility | AS | $48.91 | $48.91 | $48.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.80 / $594.00 / $933.44
| Professional | | $426.80 | $594.00 | $933.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,853.69 / $16,223.75 / $26,542.00
| Facility | | $2,853.69 | $16,223.75 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $96.86 / $1,537.78 / $1,537.78
| Facility | AS | $96.86 | $1,537.78 | $1,537.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,959.35 / $3,959.35 / $3,959.35
| Professional | | $3,959.35 | $3,959.35 | $3,959.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,697.00 / $7,232.00 / $12,407.00
| Facility | | $1,697.00 | $7,232.00 | $12,407.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $383.45 / $534.15 / $914.46
| Professional | | $383.45 | $534.15 | $914.46 |