- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.79 / $1,979.66 / $11,391.51
| Facility | | $206.79 | $1,979.66 | $11,391.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $857.08 / $3,452.20 / $3,452.20
| Facility | 50 | $857.08 | $3,452.20 | $3,452.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.79 / $351.89 / $417.97
| Professional | | $206.79 | $351.89 | $417.97 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $358.08 / $372.23 / $441.39
| Professional | 50 | $358.08 | $372.23 | $441.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $201.28 / $201.28 / $301.92
| Professional | | $201.28 | $201.28 | $301.92 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $305.52 / $305.52 / $305.52
| Professional | 50 | $305.52 | $305.52 | $305.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,234.00 / $5,126.00 / $8,240.00
| Facility | | $2,234.00 | $5,126.00 | $8,240.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $228.79 / $309.92 / $418.39
| Professional | | $228.79 | $309.92 | $418.39 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $343.18 / $464.88 / $627.58
| Professional | 50 | $343.18 | $464.88 | $627.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $201.28 / $269.45 / $467.97
| Facility | | $201.28 | $269.45 | $467.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.31 / $414.14 / $596.36
| Professional | | $331.31 | $414.14 | $596.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.76 / $477.79 / $1,375.01
| Facility | | $365.76 | $477.79 | $1,375.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.94 / $371.61 / $691.64
| Professional | | $227.94 | $371.61 | $691.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,399.00 / $5,995.00 / $10,413.00
| Facility | | $1,399.00 | $5,995.00 | $10,413.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.63 / $438.27 / $759.62
| Professional | | $346.63 | $438.27 | $759.62 |