- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.54 / $11,018.00 / $54,874.76
| Facility | | $603.54 | $11,018.00 | $54,874.76 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,454.74 / $7,496.98 / $20,072.45
| Facility | 50 | $5,454.74 | $7,496.98 | $20,072.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,600.00 / $4,518.12 / $10,425.29
| Facility | | $1,600.00 | $4,518.12 | $10,425.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,086.58 / $3,086.58 / $3,966.31
| Facility | | $3,086.58 | $3,086.58 | $3,966.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $527.78 / $666.93 / $1,101.15
| Facility | | $527.78 | $666.93 | $1,101.15 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,000.40 / $1,000.40 / $1,378.92
| Facility | 50 | $1,000.40 | $1,000.40 | $1,378.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |