- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.00 / $5,185.64 / $10,086.00
| Facility | | $714.00 | $5,185.64 | $10,086.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,515.03 / $6,049.00 / $9,536.25
| Facility | 50 | $2,515.03 | $6,049.00 | $9,536.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $323.00 / $323.00
| Facility | | $323.00 | $323.00 | $323.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,144.00 / $2,674.00 / $6,696.00
| Facility | | $1,144.00 | $2,674.00 | $6,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.00 / $1,950.00 / $4,970.00
| Facility | | $366.00 | $1,950.00 | $4,970.00 |