- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.88 / $3,776.00 / $9,727.00
| Facility | | $35.88 | $3,776.00 | $9,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.83 / $310.47 / $524.00
| Facility | | $161.83 | $310.47 | $524.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.34 / $210.80 / $580.00
| Facility | | $54.34 | $210.80 | $580.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.94 / $114.85 / $215.42
| Facility | | $35.94 | $114.85 | $215.42 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $83.42 / $214.50 / $317.20
| Facility | 50 | $83.42 | $214.50 | $317.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $1,134.00 / $2,922.00
| Facility | | $358.00 | $1,134.00 | $2,922.00 |