- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.47 / $152.59 / $2,747.00
| Facility | | $32.47 | $152.59 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $665.29 / $665.29 / $665.29
| Facility | 50 | $665.29 | $665.29 | $665.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.00 / $2,067.00 / $2,978.00
| Facility | | $1,041.00 | $2,067.00 | $2,978.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.11 / $41.34 / $47.69
| Facility | | $28.11 | $41.34 | $47.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.67 / $54.34 / $54.34
| Facility | | $36.67 | $54.34 | $54.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $668.00 / $3,176.00
| Facility | | $50.00 | $668.00 | $3,176.00 |