- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $487.00 / $1,963.00 / $5,977.50
| Facility | | $487.00 | $1,963.00 | $5,977.50 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $753.00 / $3,620.10 / $6,012.00
| Facility | 50 | $753.00 | $3,620.10 | $6,012.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,217.06 / $2,127.96 / $4,277.00
| Facility | | $1,217.06 | $2,127.96 | $4,277.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.89 / $670.63 / $2,050.00
| Facility | | $109.89 | $670.63 | $2,050.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.46 / $1,482.04 / $1,482.04
| Facility | | $145.46 | $1,482.04 | $1,482.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.43 / $177.43 / $177.43
| Facility | | $177.43 | $177.43 | $177.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $585.08 / $11,500.00 / $12,000.00
| Facility | | $585.08 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.80 / $187.61 / $306.00
| Facility | | $148.80 | $187.61 | $306.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.80 / $189.12 / $312.74
| Facility | | $148.80 | $189.12 | $312.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $2,064.00 / $4,509.00
| Facility | | $600.00 | $2,064.00 | $4,509.00 |