- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $234.42 / $1,905.46
| Facility | | $79.43 | $234.42 | $1,905.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $199.53 / $436.52
| Professional | | $74.13 | $199.53 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $114.82 / $295.12 / $912.01
| Professional | 50 | $114.82 | $295.12 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $1,318.26 / $3,162.28
| Facility | | $354.81 | $1,318.26 | $3,162.28 |
- 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
- $147.91 / $323.59 / $741.31
| Professional | | $147.91 | $323.59 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $213.80 / $467.74 / $1,047.13
| Professional | 50 | $213.80 | $467.74 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $870.96 / $2,041.74
| Facility | | $616.60 | $870.96 | $2,041.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $380.19 / $977.24
| Professional | | $181.97 | $380.19 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $794.33 / $1,621.81
| Facility | | $660.69 | $794.33 | $1,621.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $338.84 / $812.83
| Professional | | $177.83 | $338.84 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $251.19 / $1,737.80
| Facility | | $93.33 | $251.19 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,897.79 / $4,897.79 / $4,897.79
| Facility | 50 | $4,897.79 | $4,897.79 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.93 / $426.58 / $1,023.29
| Professional | | $208.93 | $426.58 | $1,023.29 |
- 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
- $102.33 / $245.47 / $630.96
| Professional | | $102.33 | $245.47 | $630.96 |