- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.49 / $8,477.27 / $20,928.72
| Facility | | $562.49 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $9,612.12 / $9,612.12 / $9,612.12
| Facility | 50 | $9,612.12 | $9,612.12 | $9,612.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $444.61 / $738.66 / $2,547.37
| Professional | | $444.61 | $738.66 | $2,547.37 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $667.86 / $667.86 / $1,969.78
| Professional | 50 | $667.86 | $667.86 | $1,969.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,104.22 / $6,659.73 / $12,985.98
| Facility | | $5,104.22 | $6,659.73 | $12,985.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $471.33 / $823.22 / $1,135.78
| Professional | | $471.33 | $823.22 | $1,135.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,539.00 / $1,539.00 / $1,539.00
| Facility | | $1,539.00 | $1,539.00 | $1,539.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,062.33 / $1,374.14 / $1,733.50
| Professional | | $1,062.33 | $1,374.14 | $1,733.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533.53 / $956.23 / $4,217.00
| Facility | | $533.53 | $956.23 | $4,217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $850.82 / $1,219.50 / $1,627.56
| Professional | | $850.82 | $1,219.50 | $1,627.56 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $1,413.53 / $1,413.53 / $1,413.53
| Professional | 50 | $1,413.53 | $1,413.53 | $1,413.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,040.02 / $1,427.85 / $1,949.40
| Facility | | $1,040.02 | $1,427.85 | $1,949.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $934.38 / $1,218.22 / $1,609.33
| Professional | | $934.38 | $1,218.22 | $1,609.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $945.82 / $1,259.21 / $1,452.91
| Professional | | $945.82 | $1,259.21 | $1,452.91 |