- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.49 / $864.69 / $14,451.64
| Facility | | $204.49 | $864.69 | $14,451.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,735.01 / $3,735.01 / $3,735.01
| Facility | 50 | $3,735.01 | $3,735.01 | $3,735.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $180.59 / $305.93 / $376.48
| Professional | | $180.59 | $305.93 | $376.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $200.26 / $299.13 / $392.68
| Professional | | $200.26 | $299.13 | $392.68 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $300.39 / $448.69 / $589.02
| Professional | 50 | $300.39 | $448.69 | $589.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.86 / $318.36 / $549.51
| Professional | | $205.86 | $318.36 | $549.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.34 / $318.63 / $495.79
| Professional | | $207.34 | $318.63 | $495.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $864.69 / $864.69 / $14,451.64
| Facility | | $864.69 | $864.69 | $14,451.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,735.01 / $3,735.01 / $3,735.01
| Facility | 50 | $3,735.01 | $3,735.01 | $3,735.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $191.72 / $305.93 / $407.18
| Professional | | $191.72 | $305.93 | $407.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $261.02 / $368.01 / $505.57
| Professional | | $261.02 | $368.01 | $505.57 |