- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.39 / $117.89 / $8,704.45
| Facility | | $61.39 | $117.89 | $8,704.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.92 / $105.86 / $194.17
| Professional | | $58.92 | $105.86 | $194.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $898.74 / $1,788.87 / $2,812.04
| Facility | | $898.74 | $1,788.87 | $2,812.04 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,576.86 / $2,392.44 / $4,194.93
| Facility | 50 | $1,576.86 | $2,392.44 | $4,194.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.94 / $215.20 / $408.24
| Professional | | $120.94 | $215.20 | $408.24 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $176.25 / $319.19 / $593.99
| Professional | 50 | $176.25 | $319.19 | $593.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.43 / $412.08 / $991.31
| Facility | | $290.43 | $412.08 | $991.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.72 / $257.61 / $472.31
| Professional | | $133.72 | $257.61 | $472.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.22 / $376.74 / $780.56
| Facility | | $236.22 | $376.74 | $780.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.41 / $229.94 / $425.90
| Professional | | $132.41 | $229.94 | $425.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.33 / $183.56 / $2,078.46
| Facility | | $91.33 | $183.56 | $2,078.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,180.02 / $1,180.02 / $1,180.02
| Facility | 50 | $1,180.02 | $1,180.02 | $1,180.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.56 / $215.06 / $912.00
| Professional | | $101.56 | $215.06 | $912.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $269.91 / $269.91 / $269.91
| Professional | 50 | $269.91 | $269.91 | $269.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.00 / $2,872.00 / $4,241.00
| Facility | | $1,187.00 | $2,872.00 | $4,241.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $115.96 / $227.01 / $360.92
| Professional | | $115.96 | $227.01 | $360.92 |