- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $648.96 / $2,517.88 / $7,920.26
| Facility | | $648.96 | $2,517.88 | $7,920.26 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,550.58 / $5,550.58 / $6,119.71
| Facility | 50 | $5,550.58 | $5,550.58 | $6,119.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $465.71 / $923.25 / $1,403.13
| Professional | | $465.71 | $923.25 | $1,403.13 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $1,126.68 / $1,126.68 / $1,126.68
| Professional | 50 | $1,126.68 | $1,126.68 | $1,126.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.00 / $451.00 / $451.00
| Facility | | $451.00 | $451.00 | $451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $364.18 / $576.42 / $903.04
| Professional | | $364.18 | $576.42 | $903.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $341.80 / $661.16 / $788.17
| Professional | | $341.80 | $661.16 | $788.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.79 / $611.97 / $2,146.67
| Facility | | $352.79 | $611.97 | $2,146.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $494.90 / $674.26 / $1,640.24
| Professional | | $494.90 | $674.26 | $1,640.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.54 / $661.32 / $1,852.34
| Facility | | $467.54 | $661.32 | $1,852.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $386.24 / $665.97 / $2,073.23
| Facility | | $386.24 | $665.97 | $2,073.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528.77 / $647.46 / $1,014.14
| Professional | | $528.77 | $647.46 | $1,014.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,428.83 / $1,813.69 / $2,182.61
| Facility | | $1,428.83 | $1,813.69 | $2,182.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,143.25 / $2,720.54 / $3,273.92
| Facility | 50 | $2,143.25 | $2,720.54 | $3,273.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $547.99 / $648.69 / $896.71
| Professional | | $547.99 | $648.69 | $896.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,106.00 / $2,385.00 / $7,480.00
| Facility | | $1,106.00 | $2,385.00 | $7,480.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $502.85 / $767.81 / $1,781.64
| Professional | | $502.85 | $767.81 | $1,781.64 |