- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,248.73 / $4,092.00 / $7,205.00
| Facility | | $1,248.73 | $4,092.00 | $7,205.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,355.60 / $6,741.58 / $8,259.21
| Facility | 50 | $5,355.60 | $6,741.58 | $8,259.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $391.88 / $572.61 / $1,248.73
| Professional | | $391.88 | $572.61 | $1,248.73 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $206.57 / $619.71 / $1,412.75
| Professional | 50 | $206.57 | $619.71 | $1,412.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,110.38 / $1,110.38 / $1,113.50
| Facility | | $1,110.38 | $1,110.38 | $1,113.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $486.28 / $651.00 / $769.95
| Professional | | $486.28 | $651.00 | $769.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $401.81 / $774.96 / $1,259.23
| Facility | | $401.81 | $774.96 | $1,259.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $719.98 / $785.43 / $1,022.78
| Professional | | $719.98 | $785.43 | $1,022.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $625.33 / $786.71
| Professional | | $32.34 | $625.33 | $786.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,403.52 / $4,867.04 / $5,994.73
| Facility | | $3,403.52 | $4,867.04 | $5,994.73 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,876.77 / $7,300.56 / $9,122.73
| Facility | 50 | $4,876.77 | $7,300.56 | $9,122.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $757.44 / $891.11 / $1,022.78
| Professional | | $757.44 | $891.11 | $1,022.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,550.00 / $12,233.00
| Facility | | $1,350.00 | $5,550.00 | $12,233.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452.52 / $601.91 / $877.79
| Professional | | $452.52 | $601.91 | $877.79 |