- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,108.04 / $4,800.80 / $10,000.36
| Facility | | $1,108.04 | $4,800.80 | $10,000.36 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,875.28 / $5,875.28 / $6,226.42
| Facility | 50 | $5,875.28 | $5,875.28 | $6,226.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.33 / $421.07 / $912.59
| Professional | | $311.33 | $421.07 | $912.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,092.00 / $7,463.00 / $11,048.00
| Facility | | $4,092.00 | $7,463.00 | $11,048.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $370.75 / $558.87 / $831.42
| Professional | | $370.75 | $558.87 | $831.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $344.80 / $464.08 / $720.68
| Professional | | $344.80 | $464.08 | $720.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $406.71 / $538.00 / $538.15
| Professional | | $406.71 | $538.00 | $538.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,674.29 / $7,342.03 / $14,631.59
| Facility | | $2,674.29 | $7,342.03 | $14,631.59 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,353.16 / $6,780.96 / $59,358.72
| Facility | 50 | $6,353.16 | $6,780.96 | $59,358.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.00 / $4,977.00 / $10,011.00
| Facility | | $760.00 | $4,977.00 | $10,011.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,830.00 / $5,875.28 / $6,909.00
| Facility | 50 | $3,830.00 | $5,875.28 | $6,909.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $339.12 / $492.90 / $1,068.49
| Professional | | $339.12 | $492.90 | $1,068.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $508.90 / $863.30
| Professional | | $5.00 | $508.90 | $863.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.81 / $467.79 / $811.66
| Professional | | $363.81 | $467.79 | $811.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.19 / $341.19 / $464.66
| Facility | | $341.19 | $341.19 | $464.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $330.28 / $343.47 / $464.66
| Professional | | $330.28 | $343.47 | $464.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $350.09 / $454.82 / $724.42
| Professional | | $350.09 | $454.82 | $724.42 |