- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.71 / $1,131.45 / $9,311.00
| Facility | | $593.71 | $1,131.45 | $9,311.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $13,966.50 / $13,966.50 / $13,966.50
| Facility | 50 | $13,966.50 | $13,966.50 | $13,966.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.00 / $3,967.00 / $8,800.00
| Facility | | $2,088.00 | $3,967.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.30 / $920.08 / $1,061.38
| Facility | | $675.30 | $920.08 | $1,061.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $736.85 / $806.84 / $806.84
| Facility | | $736.85 | $806.84 | $806.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $739.00 / $3,828.00 / $8,582.00
| Facility | | $739.00 | $3,828.00 | $8,582.00 |