- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.00 / $3,286.00 / $8,471.00
| Facility | | $407.00 | $3,286.00 | $8,471.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,193.00 / $4,188.12 / $7,915.97
| Facility | 50 | $3,193.00 | $4,188.12 | $7,915.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $835.58 / $994.74
| Facility | | $323.00 | $835.58 | $994.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,578.00 / $4,823.00 / $9,635.00
| Facility | | $2,578.00 | $4,823.00 | $9,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,014.00 / $3,611.00 / $8,105.00
| Facility | | $1,014.00 | $3,611.00 | $8,105.00 |