- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,426.00 / $4,761.00 / $8,933.00
| Facility | | $1,426.00 | $4,761.00 | $8,933.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,929.45 / $6,163.40 / $9,617.00
| Facility | 50 | $2,929.45 | $6,163.40 | $9,617.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,867.97 / $4,867.97 / $7,119.82
| Facility | 50 | $4,867.97 | $4,867.97 | $7,119.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,151.00 / $5,342.00 / $10,247.00
| Facility | | $1,151.00 | $5,342.00 | $10,247.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,929.45 / $6,163.40 / $9,617.00
| Facility | 50 | $2,929.45 | $6,163.40 | $9,617.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,655.26 / $2,655.26 / $3,048.79
| Facility | | $2,655.26 | $2,655.26 | $3,048.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,080.11 / $2,967.00 / $6,885.00
| Facility | | $2,080.11 | $2,967.00 | $6,885.00 |