- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.50 / $3,035.07 / $9,504.00
| Facility | | $900.50 | $3,035.07 | $9,504.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,912.50 / $3,072.00 / $3,997.00
| Facility | 50 | $1,912.50 | $3,072.00 | $3,997.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,895.00 / $6,003.00 / $29,406.00
| Facility | | $1,895.00 | $6,003.00 | $29,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $718.67 / $862.40 / $1,347.51
| Facility | | $718.67 | $862.40 | $1,347.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.57 / $2,372.13 / $2,605.71
| Facility | | $0.57 | $2,372.13 | $2,605.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,206.00 / $6,578.00 / $10,989.00
| Facility | | $3,206.00 | $6,578.00 | $10,989.00 |