- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $961.29 / $7,954.00 / $19,362.11
| Facility | | $961.29 | $7,954.00 | $19,362.11 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $17,956.73 / $17,956.73 / $17,956.73
| Facility | 50 | $17,956.73 | $17,956.73 | $17,956.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,451.00 / $13,776.00 / $25,750.00
| Facility | | $2,451.00 | $13,776.00 | $25,750.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,112.20 / $1,570.17 / $2,355.26
| Facility | | $1,112.20 | $1,570.17 | $2,355.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,594.87 / $3,594.87 / $3,594.87
| Facility | | $3,594.87 | $3,594.87 | $3,594.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,699.00 / $10,113.00 / $18,764.00
| Facility | | $4,699.00 | $10,113.00 | $18,764.00 |