- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.77 / $148.91 / $2,042.00
| Facility | | $29.77 | $148.91 | $2,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.87 / $420.42 / $838.05
| Facility | | $145.87 | $420.42 | $838.05 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $537.72 / $815.83 / $1,430.49
| Facility | 50 | $537.72 | $815.83 | $1,430.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.02 / $508.83 / $1,224.06
| Facility | | $326.02 | $508.83 | $1,224.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.68 / $465.19 / $963.83
| Facility | | $291.68 | $465.19 | $963.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.54 / $131.16 / $383.14
| Facility | | $40.54 | $131.16 | $383.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,230.04 / $1,230.04 / $1,230.04
| Facility | 50 | $1,230.04 | $1,230.04 | $1,230.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $563.00 / $1,580.95 / $3,584.00
| Facility | | $563.00 | $1,580.95 | $3,584.00 |