- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,145.00 / $8,400.00
| Facility | | $1,000.00 | $3,145.00 | $8,400.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $804.50 / $2,195.53 / $2,657.00
| Facility | 50 | $804.50 | $2,195.53 | $2,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,091.22 / $11,208.10 / $17,846.03
| Facility | | $7,091.22 | $11,208.10 | $17,846.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $692.02 / $1,403.25 / $10,198.00
| Facility | | $692.02 | $1,403.25 | $10,198.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,280.00 / $5,524.00 / $9,232.95
| Facility | | $1,280.00 | $5,524.00 | $9,232.95 |