- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $510.68 / $1,300.00 / $14,657.00
| Facility | | $510.68 | $1,300.00 | $14,657.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,017.67 / $4,017.67 / $4,017.67
| Facility | 50 | $4,017.67 | $4,017.67 | $4,017.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,565.00 / $5,944.00 / $14,034.00
| Facility | | $3,565.00 | $5,944.00 | $14,034.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $581.80 / $792.33 / $914.01
| Facility | | $581.80 | $792.33 | $914.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.45 / $697.48 / $697.48
| Facility | | $675.45 | $697.48 | $697.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.00 / $4,639.00 / $16,406.00
| Facility | | $973.00 | $4,639.00 | $16,406.00 |