- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $666.37 / $5,908.50
| Facility | | $100.00 | $666.37 | $5,908.50 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,408.05 / $2,516.48 / $14,600.76
| Facility | 50 | $1,408.05 | $2,516.48 | $14,600.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.15 / $403.00 / $666.38
| Professional | | $235.15 | $403.00 | $666.38 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $289.05 / $289.05 / $706.65
| Professional | 50 | $289.05 | $289.05 | $706.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,449.90 / $1,611.00 / $3,700.00
| Facility | | $1,449.90 | $1,611.00 | $3,700.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $188.88 / $322.86 / $514.19
| Professional | | $188.88 | $322.86 | $514.19 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $279.95 / $482.11 / $740.36
| Professional | 50 | $279.95 | $482.11 | $740.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.10 / $2,862.32 / $2,962.50
| Facility | | $326.10 | $2,862.32 | $2,962.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.74 / $576.96 / $1,094.14
| Professional | | $269.74 | $576.96 | $1,094.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $233.23 / $514.37 / $1,195.33
| Professional | | $233.23 | $514.37 | $1,195.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,565.00 / $9,565.00 / $9,565.00
| Facility | | $9,565.00 | $9,565.00 | $9,565.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $496.61 / $740.00 / $1,200.39
| Professional | | $496.61 | $740.00 | $1,200.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $191.15 / $331.44 / $535.04
| Professional | | $191.15 | $331.44 | $535.04 |