- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,376.00 / $5,021.00 / $12,669.00
| Facility | | $1,376.00 | $5,021.00 | $12,669.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,857.50 / $5,857.50 / $6,567.02
| Facility | 50 | $5,857.50 | $5,857.50 | $6,567.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $400.00 / $10,000.00
| Facility | | $323.00 | $400.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,624.00 / $21,162.00 / $32,051.00
| Facility | | $9,624.00 | $21,162.00 | $32,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,822.00 / $10,309.00 / $15,888.00
| Facility | | $2,822.00 | $10,309.00 | $15,888.00 |