- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.40 / $981.93 / $1,736.69
| Facility | | $335.40 | $981.93 | $1,736.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $326.10 / $488.00 / $2,177.16
| Professional | | $326.10 | $488.00 | $2,177.16 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $2,754.00 / $2,754.00 / $2,754.00
| Professional | 50 | $2,754.00 | $2,754.00 | $2,754.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $336.31 / $353.13 / $818.05
| Professional | | $336.31 | $353.13 | $818.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.47 / $171.14 / $335.55
| Facility | | $145.47 | $171.14 | $335.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $278.44 / $493.67 / $1,164.84
| Professional | | $278.44 | $493.67 | $1,164.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $328.24 / $397.35 / $553.25
| Professional | | $328.24 | $397.35 | $553.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.00 / $294.00 / $294.00
| Facility | | $294.00 | $294.00 | $294.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.62 / $759.92 / $1,202.61
| Professional | | $311.62 | $759.92 | $1,202.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $324.19 / $332.73 / $397.35
| Professional | | $324.19 | $332.73 | $397.35 |