- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.08 / $5,429.00 / $13,151.00
| Facility | | $789.08 | $5,429.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,774.50 / $13,177.00 / $13,965.00
| Facility | 50 | $7,774.50 | $13,177.00 | $13,965.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,224.00 / $4,643.00 / $17,951.00
| Facility | | $2,224.00 | $4,643.00 | $17,951.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,488.00 / $13,882.00 / $15,775.00
| Facility | | $7,488.00 | $13,882.00 | $15,775.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.55 / $1,155.96 / $26,542.00
| Facility | | $528.55 | $1,155.96 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,426.00 / $4,432.00 / $13,355.00
| Facility | | $2,426.00 | $4,432.00 | $13,355.00 |