- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.86 / $1,934.00 / $6,691.00
| Facility | | $131.86 | $1,934.00 | $6,691.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $83.52 / $692.30 / $692.30
| Facility | 50 | $83.52 | $692.30 | $692.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.14 / $345.02 / $769.83
| Facility | | $181.14 | $345.02 | $769.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.27 / $241.15 / $667.73
| Facility | | $30.27 | $241.15 | $667.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.80 / $29.80 / $80.00
| Facility | | $29.80 | $29.80 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.34 / $54.34 / $54.34
| Facility | | $54.34 | $54.34 | $54.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.77 / $11,500.00 / $12,000.00
| Facility | | $259.77 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.04 / $101.22 / $187.50
| Facility | | $32.04 | $101.22 | $187.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.04 / $101.22 / $188.56
| Facility | | $32.04 | $101.22 | $188.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $1,058.00 / $2,668.00
| Facility | | $161.00 | $1,058.00 | $2,668.00 |