- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.14 / $181.75 / $2,878.00
| Facility | | $42.14 | $181.75 | $2,878.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $315.99 / $426.69 / $1,002.03
| Facility | | $315.99 | $426.69 | $1,002.03 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $170.24 / $256.61 / $338.33
| Facility | 50 | $170.24 | $256.61 | $338.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.14 / $181.75 / $4,933.00
| Facility | | $42.14 | $181.75 | $4,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $300.00 / $1,209.00 / $1,844.00
| Facility | | $300.00 | $1,209.00 | $1,844.00 |