- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $3,311.31 / $5,495.41
| Facility | | $346.74 | $3,311.31 | $5,495.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $331.13 / $1,174.90
| Professional | | $151.36 | $331.13 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $2,137.96 / $4,677.35
| Facility | | $707.95 | $2,137.96 | $4,677.35 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,071.52 / $2,951.21 / $6,918.31
| Facility | 50 | $1,071.52 | $2,951.21 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.42 / $776.25 / $977.24
| Professional | | $234.42 | $776.25 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $257.04 / $954.99
| Professional | | $154.88 | $257.04 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $776.25 / $3,890.45
| Facility | | $186.21 | $776.25 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $251.19 / $933.25
| Professional | | $158.49 | $251.19 | $933.25 |
- 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
- $2,754.23 / $3,630.78 / $5,248.07
| Facility | | $2,754.23 | $3,630.78 | $5,248.07 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,073.80 / $5,888.44 / $7,762.47
| Facility | 50 | $4,073.80 | $5,888.44 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $245.47 / $851.14
| Professional | | $169.82 | $245.47 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $457.09 / $3,090.30
| Professional | | $245.47 | $457.09 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $6,165.95 / $7,762.47
| Facility | | $3,467.37 | $6,165.95 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $295.12 / $1,096.48
| Professional | | $147.91 | $295.12 | $1,096.48 |