- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $4,000.00 / $13,079.00
| Facility | | $1,000.00 | $4,000.00 | $13,079.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,106.00 / $8,106.00 / $8,106.00
| Facility | 50 | $8,106.00 | $8,106.00 | $8,106.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,900.28 / $10,512.64 / $16,138.43
| Facility | | $6,900.28 | $10,512.64 | $16,138.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.55 / $1,100.00 / $14,587.03
| Facility | | $617.55 | $1,100.00 | $14,587.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,570.00 / $6,980.00 / $13,541.98
| Facility | | $1,570.00 | $6,980.00 | $13,541.98 |