- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $728.54 / $7,251.99 / $13,208.29
| Facility | | $728.54 | $7,251.99 | $13,208.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,107.20 / $6,673.79 / $7,831.94
| Facility | 50 | $5,107.20 | $6,673.79 | $7,831.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,477.82 / $6,988.35 / $13,239.43
| Facility | | $2,477.82 | $6,988.35 | $13,239.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $1,956.98 / $2,514.75
| Facility | | $715.00 | $1,956.98 | $2,514.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $624.46 / $816.93 / $1,504.55
| Facility | | $624.46 | $816.93 | $1,504.55 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $945.00 / $1,227.83 / $1,917.45
| Facility | 50 | $945.00 | $1,227.83 | $1,917.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |