- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.64 / $2,171.25 / $8,471.00
| Facility | | $52.64 | $2,171.25 | $8,471.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.55 / $1,227.07 / $2,453.46
| Facility | 50 | $0.55 | $1,227.07 | $2,453.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.01 / $143.08 / $278.13
| Professional | | $53.01 | $143.08 | $278.13 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $88.04 / $259.49 / $1,688.47
| Professional | 50 | $88.04 | $259.49 | $1,688.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.76 / $201.94 / $264.91
| Professional | | $53.76 | $201.94 | $264.91 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $80.65 / $254.67 / $314.99
| Professional | 50 | $80.65 | $254.67 | $314.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $323.00 / $323.00
| Facility | | $323.00 | $323.00 | $323.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.70 / $144.77 / $337.89
| Professional | | $56.70 | $144.77 | $337.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,196.00 / $2,689.00 / $6,584.00
| Facility | | $1,196.00 | $2,689.00 | $6,584.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.51 / $176.87 / $242.00
| Professional | | $84.51 | $176.87 | $242.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.37 / $246.99 / $370.66
| Professional | | $161.37 | $246.99 | $370.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.00 / $1,950.00 / $5,107.00
| Facility | | $366.00 | $1,950.00 | $5,107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.16 / $190.23 / $325.05
| Professional | | $130.16 | $190.23 | $325.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $161.37 / $161.37
| Professional | | $44.94 | $161.37 | $161.37 |