- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.49 / $1,273.00 / $3,103.52
| Facility | | $88.49 | $1,273.00 | $3,103.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $232.50 / $1,234.71 / $1,601.85
| Facility | 50 | $232.50 | $1,234.71 | $1,601.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.64 / $85.05 / $162.08
| Professional | | $49.64 | $85.05 | $162.08 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $130.38 / $364.35 / $863.30
| Professional | 50 | $130.38 | $364.35 | $863.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.24 / $627.00 / $2,733.00
| Facility | | $57.24 | $627.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.56 / $139.63 / $377.24
| Professional | | $61.56 | $139.63 | $377.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.62 / $75.33 / $139.16
| Facility | | $58.62 | $75.33 | $139.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.68 / $137.65 / $325.86
| Professional | | $74.68 | $137.65 | $325.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.73 / $128.26 / $226.16
| Professional | | $68.73 | $128.26 | $226.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.78 / $182.01 / $6,679.00
| Facility | | $57.78 | $182.01 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.52 / $125.41 / $173.11
| Professional | | $103.52 | $125.41 | $173.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.23 / $138.31 / $246.99
| Professional | | $64.23 | $138.31 | $246.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $311.00 / $600.00 / $821.70
| Facility | | $311.00 | $600.00 | $821.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.74 / $145.87 / $221.47
| Professional | | $82.74 | $145.87 | $221.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.36 / $192.04 / $2,504.50
| Professional | | $106.36 | $192.04 | $2,504.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.56 / $148.84 / $258.37
| Professional | | $102.56 | $148.84 | $258.37 |