- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.80 / $1,978.00 / $7,197.00
| Facility | | $523.80 | $1,978.00 | $7,197.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $759.50 / $759.50 / $759.50
| Facility | 50 | $759.50 | $759.50 | $759.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.00 / $2,326.00 / $8,017.00
| Facility | | $594.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $759.50 / $759.50 / $759.50
| Facility | 50 | $759.50 | $759.50 | $759.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.16 / $200.24 / $754.80
| Facility | | $146.16 | $200.24 | $754.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $577.00 / $3,742.00
| Facility | | $144.00 | $577.00 | $3,742.00 |