- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $512.86 / $9,332.54
| Facility | | $70.79 | $512.86 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $128.82 / $309.03
| Professional | | $64.57 | $128.82 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $338.84 / $338.84 / $1,230.27
| Professional | 50 | $338.84 | $338.84 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,187.76 / $4,897.79
| Facility | | $1,096.48 | $2,187.76 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,621.81 / $2,951.21 / $7,413.10
| Facility | 50 | $1,621.81 | $2,951.21 | $7,413.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $251.19 / $524.81
| Professional | | $128.82 | $251.19 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $190.55 / $371.54 / $724.44
| Professional | 50 | $190.55 | $371.54 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $602.56 / $1,412.54
| Facility | | $407.38 | $602.56 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $309.03 / $660.69
| Professional | | $154.88 | $309.03 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $575.44 / $1,122.02
| Facility | | $457.09 | $575.44 | $1,122.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $281.84 / $588.84
| Professional | | $154.88 | $281.84 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $229.09 / $1,659.59
| Facility | | $83.18 | $229.09 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $263.03 / $1,096.48
| Professional | | $131.83 | $263.03 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $2,238.72 / $5,495.41
| Facility | | $1,174.90 | $2,238.72 | $5,495.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $169.82 / $398.11
| Professional | | $75.86 | $169.82 | $398.11 |