- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219.95 / $2,984.14 / $10,187.11
| Facility | | $219.95 | $2,984.14 | $10,187.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,060.00 / $3,693.00 / $4,290.00
| Facility | | $3,060.00 | $3,693.00 | $4,290.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $692.22 / $995.27 / $1,227.50
| Professional | | $692.22 | $995.27 | $1,227.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219.95 / $829.39 / $1,576.42
| Facility | | $219.95 | $829.39 | $1,576.42 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $505.46 / $1,806.06 / $2,552.60
| Facility | 50 | $505.46 | $1,806.06 | $2,552.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.32 / $279.45 / $1,428.00
| Facility | | $213.32 | $279.45 | $1,428.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,066.00 / $1,893.00 / $3,765.00
| Facility | | $1,066.00 | $1,893.00 | $3,765.00 |