- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,186.74 / $9,073.04 / $18,876.80
| Facility | | $1,186.74 | $9,073.04 | $18,876.80 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,279.15 / $20,045.05 / $37,203.19
| Facility | 50 | $10,279.15 | $20,045.05 | $37,203.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,763.50 / $7,861.77 / $16,298.49
| Facility | | $2,763.50 | $7,861.77 | $16,298.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $3,413.02 / $4,385.79
| Facility | | $715.00 | $3,413.02 | $4,385.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,027.47 / $1,374.77 / $2,550.19
| Facility | | $1,027.47 | $1,374.77 | $2,550.19 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,701.00 / $2,207.23 / $4,029.74
| Facility | 50 | $1,701.00 | $2,207.23 | $4,029.74 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $158.76 / $197.87 / $376.11
| Facility | AS | $158.76 | $197.87 | $376.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $16,959.00 / $23,485.00
| Facility | | $2,912.00 | $16,959.00 | $23,485.00 |