- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.50 / $2,159.00 / $6,707.72
| Facility | | $312.50 | $2,159.00 | $6,707.72 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $744.25 / $9,202.04 / $32,353.62
| Facility | 50 | $744.25 | $9,202.04 | $32,353.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $947.00 / $2,733.00
| Facility | | $308.00 | $947.00 | $2,733.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.22 / $314.35 / $6,679.00
| Facility | | $209.22 | $314.35 | $6,679.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $700.93 / $4,170.57 / $10,458.87
| Facility | | $700.93 | $4,170.57 | $10,458.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,039.10 / $3,445.00
| Facility | | $55.00 | $1,039.10 | $3,445.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |