- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.41 / $2,323.98 / $8,529.00
| Facility | | $137.41 | $2,323.98 | $8,529.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $794.00 / $2,302.40 / $5,435.75
| Facility | 50 | $794.00 | $2,302.40 | $5,435.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.59 / $142.47 / $232.72
| Professional | | $79.59 | $142.47 | $232.72 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $178.35 / $331.04 / $1,885.09
| Professional | 50 | $178.35 | $331.04 | $1,885.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.48 / $155.72 / $338.27
| Professional | | $82.48 | $155.72 | $338.27 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $142.05 / $233.57 / $415.00
| Professional | 50 | $142.05 | $233.57 | $415.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $476.39 / $567.14
| Facility | | $323.00 | $476.39 | $567.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.18 / $165.21 / $305.00
| Professional | | $90.18 | $165.21 | $305.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,104.00 / $3,151.00 / $7,804.00
| Facility | | $2,104.00 | $3,151.00 | $7,804.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.98 / $154.86 / $189.28
| Professional | | $73.98 | $154.86 | $189.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $213.20 / $314.74
| Professional | | $141.25 | $213.20 | $314.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.00 / $2,671.00 / $6,077.00
| Facility | | $591.00 | $2,671.00 | $6,077.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.04 / $196.78 / $345.40
| Professional | | $130.04 | $196.78 | $345.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.70 / $135.83 / $135.83
| Professional | | $69.70 | $135.83 | $135.83 |