- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516.12 / $756.00 / $8,229.00
| Facility | | $516.12 | $756.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,278.17 / $2,282.12 / $13,966.50
| Facility | 50 | $2,278.17 | $2,282.12 | $13,966.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $482.64 / $622.69 / $849.83
| Professional | | $482.64 | $622.69 | $849.83 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $955.04 / $955.04 / $955.04
| Professional | 50 | $955.04 | $955.04 | $955.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.00 / $3,889.00 / $8,766.00
| Facility | | $2,088.00 | $3,889.00 | $8,766.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $387.24 / $469.25 / $689.69
| Professional | | $387.24 | $469.25 | $689.69 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $580.86 / $703.87 / $1,036.70
| Professional | 50 | $580.86 | $703.87 | $1,036.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $452.18 / $636.69 / $727.65
| Facility | | $452.18 | $636.69 | $727.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $521.86 / $641.24 / $1,023.26
| Professional | | $521.86 | $641.24 | $1,023.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $490.50 / $836.80 / $1,117.44
| Facility | | $490.50 | $836.80 | $1,117.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $453.28 / $667.56 / $2,346.42
| Professional | | $453.28 | $667.56 | $2,346.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $239.47
| Professional | | $32.34 | $32.34 | $239.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.00 / $2,723.00 / $6,295.00
| Facility | | $599.00 | $2,723.00 | $6,295.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528.73 / $654.79 / $1,068.55
| Professional | | $528.73 | $654.79 | $1,068.55 |