- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.04 / $1,737.00 / $8,988.00
| Facility | | $74.04 | $1,737.00 | $8,988.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $44.81 / $704.31 / $774.82
| Facility | 50 | $44.81 | $704.31 | $774.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.73 / $128.77 / $323.00
| Facility | | $126.73 | $128.77 | $323.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,438.00 / $2,403.00 / $4,241.00
| Facility | | $1,438.00 | $2,403.00 | $4,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $351.00 / $1,986.00 / $5,259.00
| Facility | | $351.00 | $1,986.00 | $5,259.00 |