- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $3,388.44 / $5,370.32
| Facility | | $1,047.13 | $3,388.44 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $758.58 / $2,754.23 / $3,981.07
| Facility | 50 | $758.58 | $2,754.23 | $3,981.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $83.18 / $186.21 / $2,570.40
| Professional | | $83.18 | $186.21 | $2,570.40 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $147.91 / $630.96 / $3,630.78
| Professional | 50 | $147.91 | $630.96 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $81,283.05 / $95,499.26
| Facility | | $46,773.51 | $81,283.05 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Professional | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Facility | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $257.04 / $269.15
| Professional | | $181.97 | $257.04 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $281.84 / $323.59
| Facility | | $275.42 | $281.84 | $323.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $281.84 / $323.59
| Professional | | $275.42 | $281.84 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $229.09 / $288.40
| Facility | | $141.25 | $229.09 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.43 / $165.96 / $331.13
| Professional | | $79.43 | $165.96 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $218.78 / $263.03 / $389.05
| Professional | | $218.78 | $263.03 | $389.05 |