- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $859.23 / $8,269.15 / $16,467.00
| Facility | | $859.23 | $8,269.15 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,990.10 / $30,148.82 / $30,148.82
| Facility | 50 | $8,990.10 | $30,148.82 | $30,148.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,007.86 / $6,919.46 / $13,433.48
| Facility | | $3,007.86 | $6,919.46 | $13,433.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,413.02 / $3,413.02 / $4,385.79
| Facility | | $3,413.02 | $3,413.02 | $4,385.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.64 / $948.28 / $1,690.63
| Facility | | $738.64 | $948.28 | $1,690.63 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,159.50 / $1,422.42 / $2,199.00
| Facility | 50 | $1,159.50 | $1,422.42 | $2,199.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $108.22 / $132.76 / $205.24
| Facility | AS | $108.22 | $132.76 | $205.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |