- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.40 / $1,592.36 / $8,359.42
| Facility | | $487.40 | $1,592.36 | $8,359.42 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $487.39 / $1,295.95 / $9,003.32
| Facility | 50 | $487.39 | $1,295.95 | $9,003.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.95 / $152.62 / $211.93
| Professional | | $82.95 | $152.62 | $211.93 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $128.01 / $287.77 / $301.39
| Professional | 50 | $128.01 | $287.77 | $301.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.34 / $102.41 / $140.81
| Facility | | $85.34 | $102.41 | $140.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $157.15 / $252.10 / $365.31
| Professional | | $157.15 | $252.10 | $365.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153.97 / $153.97 / $153.97
| Facility | | $153.97 | $153.97 | $153.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.49 / $184.29 / $425.65
| Professional | | $95.49 | $184.29 | $425.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.67 / $2,097.94 / $4,008.81
| Facility | | $548.67 | $2,097.94 | $4,008.81 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $900.86 / $3,451.31 / $6,799.98
| Facility | 50 | $900.86 | $3,451.31 | $6,799.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $137.65 / $137.65 / $137.65
| Professional | | $137.65 | $137.65 | $137.65 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $179.91 / $179.91 / $179.91
| Professional | 50 | $179.91 | $179.91 | $179.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.72 / $252.10 / $425.02
| Professional | | $129.72 | $252.10 | $425.02 |