- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,320.09 / $18,320.09 / $28,924.01
| Facility | | $18,320.09 | $18,320.09 | $28,924.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,255.21 / $5,607.23 / $26,300.70
| Facility | 50 | $2,255.21 | $5,607.23 | $26,300.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,000.00 / $81,499.99 / $94,999.99
| Facility | | $47,000.00 | $81,499.99 | $94,999.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.51 / $1,518.51 / $1,518.51
| Facility | | $1,518.51 | $1,518.51 | $1,518.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $750.12 / $1,672.45 / $1,788.71
| Facility | | $750.12 | $1,672.45 | $1,788.71 |