- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795.22 / $7,838.38 / $8,882.33
| Facility | | $795.22 | $7,838.38 | $8,882.33 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $12,201.00 / $12,201.00 / $12,201.00
| Facility | 50 | $12,201.00 | $12,201.00 | $12,201.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,887.35 / $19,655.50 / $31,514.59
| Facility | | $5,887.35 | $19,655.50 | $31,514.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.42 / $802.37 / $915.05
| Facility | | $630.42 | $802.37 | $915.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,028.00 / $15,131.00 / $16,269.00
| Facility | | $9,028.00 | $15,131.00 | $16,269.00 |