- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.89 / $3,996.50 / $7,993.00
| Facility | | $320.89 | $3,996.50 | $7,993.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.57 / $0.57 / $1,384.45
| Facility | 50 | $0.57 | $0.57 | $1,384.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.22 / $408.78 / $622.14
| Facility | | $229.22 | $408.78 | $622.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $522.69 / $628.50 / $952.50
| Facility | 50 | $522.69 | $628.50 | $952.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,500.00 / $8,984.00 / $13,997.00
| Facility | | $3,500.00 | $8,984.00 | $13,997.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,291.61 / $13,759.35 / $26,542.00
| Facility | | $1,291.61 | $13,759.35 | $26,542.00 |