- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $234.42 / $234.42
| Facility | | $79.43 | $234.42 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,318.26 / $3,162.28
| Facility | | $199.53 | $1,318.26 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,621.81 / $2,951.21 / $7,413.10
| Facility | 50 | $1,621.81 | $2,951.21 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $870.96 / $2,041.74
| Facility | | $537.03 | $870.96 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $831.76 / $1,621.81
| Facility | | $660.69 | $831.76 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $239.88 / $1,659.59
| Facility | | $89.13 | $239.88 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $2,238.72 / $5,495.41
| Facility | | $1,174.90 | $2,238.72 | $5,495.41 |