- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.34 / $1,729.38 / $7,268.65
| Facility | | $432.34 | $1,729.38 | $7,268.65 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $534.44 / $1,867.51 / $6,892.58
| Facility | 50 | $534.44 | $1,867.51 | $6,892.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.41 / $152.08 / $259.06
| Professional | | $139.41 | $152.08 | $259.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.71 / $211.06 / $307.75
| Professional | | $175.71 | $211.06 | $307.75 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $263.56 / $316.58 / $461.62
| Professional | 50 | $263.56 | $316.58 | $461.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.85 / $237.62 / $347.35
| Professional | | $198.85 | $237.62 | $347.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $179.60 / $231.31 / $354.84
| Professional | | $179.60 | $231.31 | $354.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.34 / $3,002.42 / $8,020.47
| Facility | | $432.34 | $3,002.42 | $8,020.47 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $534.44 / $3,499.84 / $7,930.18
| Facility | 50 | $534.44 | $3,499.84 | $7,930.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.08 / $152.08 / $263.93
| Professional | | $152.08 | $152.08 | $263.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.86 / $232.83 / $323.97
| Professional | | $175.86 | $232.83 | $323.97 |