- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $536.24 / $4,357.50 / $16,467.00
| Facility | | $536.24 | $4,357.50 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,135.14 / $1,737.00 / $4,079.03
| Facility | | $1,135.14 | $1,737.00 | $4,079.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468.92 / $593.85 / $979.14
| Facility | | $468.92 | $593.85 | $979.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $890.78 / $890.78 / $1,227.81
| Facility | 50 | $890.78 | $890.78 | $1,227.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $791.00 / $10,257.00 / $16,249.00
| Facility | | $791.00 | $10,257.00 | $16,249.00 |