- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $932.00 / $3,349.00 / $8,734.00
| Facility | | $932.00 | $3,349.00 | $8,734.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $604.49 / $1,662.00 / $7,495.50
| Facility | 50 | $604.49 | $1,662.00 | $7,495.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.40 / $172.87 / $301.20
| Professional | | $72.40 | $172.87 | $301.20 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $128.44 / $128.44 / $369.05
| Professional | 50 | $128.44 | $128.44 | $369.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,974.00 / $2,971.00 / $7,022.00
| Facility | | $1,974.00 | $2,971.00 | $7,022.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.01 / $118.71 / $189.00
| Professional | | $90.01 | $118.71 | $189.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $91.53 / $104.37 / $234.94
| Professional | 50 | $91.53 | $104.37 | $234.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $684.56 / $684.56 / $2,156.40
| Facility | | $684.56 | $684.56 | $2,156.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.56 / $189.01 / $368.48
| Professional | | $92.56 | $189.01 | $368.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.92 / $208.56 / $336.45
| Facility | | $88.92 | $208.56 | $336.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.12 / $227.34 / $395.27
| Professional | | $109.12 | $227.34 | $395.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,361.00 / $2,537.00 / $3,681.00
| Facility | | $1,361.00 | $2,537.00 | $3,681.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.20 / $286.20 / $474.68
| Professional | | $205.20 | $286.20 | $474.68 |