- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,973.00 / $8,477.27 / $21,899.37
| Facility | | $4,973.00 | $8,477.27 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,421.65 / $3,324.18 / $11,400.00
| Facility | 50 | $2,421.65 | $3,324.18 | $11,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,970.26 / $10,801.75 / $20,277.64
| Facility | | $7,970.26 | $10,801.75 | $20,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $458.66 / $802.66 / $11,532.40
| Facility | | $458.66 | $802.66 | $11,532.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $916.62 / $1,302.33 / $4,487.09
| Facility | | $916.62 | $1,302.33 | $4,487.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |