- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.70 / $1,902.00 / $8,679.78
| Facility | | $340.70 | $1,902.00 | $8,679.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,463.50 / $2,927.00 / $6,795.33
| Facility | 50 | $1,463.50 | $2,927.00 | $6,795.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $937.00 / $2,059.00 / $2,412.00
| Facility | | $937.00 | $2,059.00 | $2,412.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $202.41 / $253.01 / $300.63
| Facility | | $202.41 | $253.01 | $300.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.13 / $5,333.65 / $23,014.23
| Facility | | $0.13 | $5,333.65 | $23,014.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $444.00 / $1,017.00 / $4,132.00
| Facility | | $444.00 | $1,017.00 | $4,132.00 |