- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $948.91 / $5,463.36 / $33,409.08
| Facility | | $948.91 | $5,463.36 | $33,409.08 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $933.45 / $8,367.45 / $32,555.48
| Facility | 50 | $933.45 | $8,367.45 | $32,555.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,335.87 / $4,387.57 / $8,486.99
| Facility | | $3,335.87 | $4,387.57 | $8,486.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $192.78 / $445.31 / $1,775.00
| Facility | | $192.78 | $445.31 | $1,775.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $537.00 / $537.00 / $537.00
| Facility | 50 | $537.00 | $537.00 | $537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.39 / $478.57 / $642.33
| Facility | | $326.39 | $478.57 | $642.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |