- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $954.99 / $18,620.87
| Facility | | $0.71 | $954.99 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,096.48 / $6,606.93 / $21,877.62
| Facility | 50 | $1,096.48 | $6,606.93 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $13,803.84 / $22,387.21
| Facility | | $10,000.00 | $13,803.84 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,412.54 / $2,238.72
| Facility | | $1,202.26 | $1,412.54 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $4,265.80 / $7,762.47
| Facility | | $537.03 | $4,265.80 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $7,244.36 / $13,803.84
| Facility | | $537.03 | $7,244.36 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,548.82 / $1,548.82 / $1,698.24
| Facility | 50 | $1,548.82 | $1,548.82 | $1,698.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $512.86 / $1,000.00 / $1,698.24
| Professional | | $512.86 | $1,000.00 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $9,332.54 / $13,803.84
| Facility | | $9,332.54 | $9,332.54 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,232.93 / $14,454.40
| Facility | | $6,606.93 | $10,232.93 | $14,454.40 |