- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $982.74 / $4,516.16 / $9,863.00
| Facility | | $982.74 | $4,516.16 | $9,863.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,764.50 / $5,653.00 / $9,032.31
| Facility | 50 | $2,764.50 | $5,653.00 | $9,032.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,097.00 / $8,173.00 / $36,529.00
| Facility | | $2,097.00 | $8,173.00 | $36,529.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.92 / $863.90 / $1,349.85
| Facility | | $719.92 | $863.90 | $1,349.85 |
- 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
- $987.35 / $4,968.60 / $7,848.43
| Facility | | $987.35 | $4,968.60 | $7,848.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.00 / $8,796.00 / $13,382.00
| Facility | | $4,070.00 | $8,796.00 | $13,382.00 |