- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.16 / $4,367.00 / $14,141.00
| Facility | | $1,148.16 | $4,367.00 | $14,141.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,665.50 / $4,393.77 / $13,681.00
| Facility | 50 | $1,665.50 | $4,393.77 | $13,681.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,087.00 / $4,587.00 / $17,951.00
| Facility | | $2,087.00 | $4,587.00 | $17,951.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,488.00 / $13,882.00 / $15,775.00
| Facility | | $7,488.00 | $13,882.00 | $15,775.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $824.99 / $1,705.45 / $26,542.00
| Facility | | $824.99 | $1,705.45 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,583.71 / $6,049.50 / $6,291.00
| Facility | 50 | $1,583.71 | $6,049.50 | $6,291.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $238.29 / $1,442.13 / $1,442.13
| Facility | AS | $238.29 | $1,442.13 | $1,442.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,748.00 / $3,700.00 / $7,042.00
| Facility | | $1,748.00 | $3,700.00 | $7,042.00 |