- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.00 / $6,024.00 / $12,514.00
| Facility | | $602.00 | $6,024.00 | $12,514.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,111.07 / $8,871.00 / $9,781.45
| Facility | 50 | $2,111.07 | $8,871.00 | $9,781.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,533.07 / $12,484.00 / $54,020.00
| Facility | | $1,533.07 | $12,484.00 | $54,020.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,759.00 / $23,031.00
| Facility | | $5,979.00 | $12,759.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.00 / $8,136.00 / $12,748.00
| Facility | | $2,637.00 | $8,136.00 | $12,748.00 |