- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $147.91 / $524.81
| Facility | | $28.84 | $147.91 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $478.63 / $1,096.48
| Facility | | $186.21 | $478.63 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $549.54 / $1,023.29 / $2,570.40
| Facility | 50 | $549.54 | $1,023.29 | $2,570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $537.03 / $1,288.25
| Facility | | $338.84 | $537.03 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $512.86 / $1,000.00
| Facility | | $416.87 | $512.86 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $138.04 / $562.34
| Facility | | $36.31 | $138.04 | $562.34 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $1,230.27
| Facility | 50 | $1,230.27 | $1,230.27 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,819.70 / $3,467.37
| Facility | | $602.56 | $1,819.70 | $3,467.37 |