- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.02 / $4,443.50 / $8,572.13
| Facility | | $719.02 | $4,443.50 | $8,572.13 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,723.48 / $10,723.48 / $10,723.48
| Facility | 50 | $10,723.48 | $10,723.48 | $10,723.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,385.00 / $4,133.00 / $9,074.00
| Facility | | $2,385.00 | $4,133.00 | $9,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $999.25 / $1,389.94 / $1,734.43
| Facility | | $999.25 | $1,389.94 | $1,734.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,216.00 / $2,600.00 / $5,490.00
| Facility | | $1,216.00 | $2,600.00 | $5,490.00 |