- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $394.00 / $4,790.00 / $10,888.16
| Facility | | $394.00 | $4,790.00 | $10,888.16 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,548.22 / $2,973.08 / $9,437.00
| Facility | 50 | $1,548.22 | $2,973.08 | $9,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $1,198.01 / $1,426.20
| Facility | | $323.00 | $1,198.01 | $1,426.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,169.00 / $8,416.00 / $15,897.00
| Facility | | $4,169.00 | $8,416.00 | $15,897.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.00 / $5,887.00 / $10,057.00
| Facility | | $1,954.00 | $5,887.00 | $10,057.00 |