- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $885.91 / $4,339.17 / $11,581.00
| Facility | | $885.91 | $4,339.17 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,211.23 / $10,539.00 / $11,013.00
| Facility | 50 | $6,211.23 | $10,539.00 | $11,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,895.00 / $5,945.00 / $29,406.00
| Facility | | $1,895.00 | $5,945.00 | $29,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $749.40 / $899.28 / $1,405.13
| Facility | | $749.40 | $899.28 | $1,405.13 |
- 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
- $437.47 / $437.47 / $2,731.73
| Facility | | $437.47 | $437.47 | $2,731.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,840.00 / $5,998.00 / $7,847.00
| Facility | | $2,840.00 | $5,998.00 | $7,847.00 |