- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.91 / $1,450.00 / $5,506.00
| Facility | | $61.91 | $1,450.00 | $5,506.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $106.65 / $932.00 / $1,755.00
| Facility | 50 | $106.65 | $932.00 | $1,755.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.37 / $52.88 / $183.00
| Professional | | $29.37 | $52.88 | $183.00 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $53.21 / $165.02 / $302.06
| Professional | 50 | $53.21 | $165.02 | $302.06 |
- Facility/Professional
- Professional
- Modifier
- 52
- Low / Median / High Price
- $14.79 / $21.99 / $86.50
| Professional | 52 | $14.79 | $21.99 | $86.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.79 / $45.63 / $52.29
| Professional | | $38.79 | $45.63 | $52.29 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $61.60 / $61.60 / $80.77
| Professional | 50 | $61.60 | $61.60 | $80.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.15 / $135.63 / $223.44
| Facility | | $34.15 | $135.63 | $223.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.90 / $32.44 / $47.17
| Professional | | $27.90 | $32.44 | $47.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.13 / $49.07 / $84.93
| Professional | | $32.13 | $49.07 | $84.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.54 / $50.19 / $1,126.00
| Facility | | $32.54 | $50.19 | $1,126.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $116.25 / $116.25 / $116.25
| Facility | 52 | $116.25 | $116.25 | $116.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.75 / $60.63 / $356.96
| Professional | | $43.75 | $60.63 | $356.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $704.00 / $1,535.00 / $2,175.00
| Facility | | $704.00 | $1,535.00 | $2,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.50 / $51.17 / $93.22
| Professional | | $42.50 | $51.17 | $93.22 |