- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $230.31 / $2,183.54 / $5,979.93
| Facility | | $230.31 | $2,183.54 | $5,979.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,010.81 / $6,010.81 / $6,010.81
| Facility | 50 | $6,010.81 | $6,010.81 | $6,010.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,192.79 / $1,192.79 / $1,210.19
| Facility | | $1,192.79 | $1,192.79 | $1,210.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $395.75 / $395.75 / $1,438.74
| Facility | | $395.75 | $395.75 | $1,438.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.86 / $198.52 / $334.00
| Facility | | $148.86 | $198.52 | $334.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $267.92 / $405.34 / $526.96
| Facility | 50 | $267.92 | $405.34 | $526.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.00 / $3,733.00 / $6,543.00
| Facility | | $900.00 | $3,733.00 | $6,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.08 / $4,754.80 / $12,000.00
| Facility | | $585.08 | $4,754.80 | $12,000.00 |