- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.13 / $237.82 / $2,042.00
| Facility | | $79.13 | $237.82 | $2,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.58 / $1,179.08 / $2,457.60
| Facility | | $165.58 | $1,179.08 | $2,457.60 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,576.86 / $2,392.44 / $4,194.93
| Facility | 50 | $1,576.86 | $2,392.44 | $4,194.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.47 / $816.99 / $1,965.39
| Facility | | $523.47 | $816.99 | $1,965.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468.33 / $746.93 / $1,547.55
| Facility | | $468.33 | $746.93 | $1,547.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.68 / $237.82 / $689.66
| Facility | | $108.68 | $237.82 | $689.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,187.00 / $2,872.00 / $4,241.00
| Facility | | $1,187.00 | $2,872.00 | $4,241.00 |