- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $696.94 / $5,792.00 / $13,066.00
| Facility | | $696.94 | $5,792.00 | $13,066.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,447.50 / $3,354.00 / $9,537.45
| Facility | 50 | $1,447.50 | $3,354.00 | $9,537.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,605.10 / $12,484.00 / $54,020.00
| Facility | | $1,605.10 | $12,484.00 | $54,020.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,759.00 / $23,031.00
| Facility | | $5,979.00 | $12,759.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,681.00 / $5,811.00 / $10,197.00
| Facility | | $1,681.00 | $5,811.00 | $10,197.00 |