- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.41 / $681.79 / $7,968.00
| Facility | | $296.41 | $681.79 | $7,968.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.24 / $0.24 / $0.24
| Facility | 50 | $0.24 | $0.24 | $0.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $290.18 / $433.42 / $608.29
| Professional | | $290.18 | $433.42 | $608.29 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $179.90 / $179.90 / $232.03
| Professional | 50 | $179.90 | $179.90 | $232.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.17 / $417.04 / $843.65
| Professional | | $297.17 | $417.04 | $843.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.98 / $443.28 / $1,006.76
| Professional | | $280.98 | $443.28 | $1,006.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.41 / $464.05 / $744.00
| Facility | | $296.41 | $464.05 | $744.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $580.50 / $669.56 / $1,116.00
| Facility | 50 | $580.50 | $669.56 | $1,116.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $434.36 / $565.00 / $565.00
| Professional | | $434.36 | $565.00 | $565.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $651.54 / $651.54 / $651.54
| Professional | 50 | $651.54 | $651.54 | $651.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,526.00 / $7,659.00 / $10,502.00
| Facility | | $2,526.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.77 / $456.16 / $1,122.75
| Professional | | $311.77 | $456.16 | $1,122.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,140.08 / $2,140.08 / $26,542.00
| Facility | | $2,140.08 | $2,140.08 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,266.80 / $3,689.30 / $3,919.73
| Professional | | $2,266.80 | $3,689.30 | $3,919.73 |