- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.77 / $2,492.44 / $11,093.00
| Facility | | $176.77 | $2,492.44 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,276.99 / $4,116.10 / $5,745.02
| Facility | 50 | $1,276.99 | $4,116.10 | $5,745.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,309.00 / $6,474.00 / $13,810.27
| Facility | | $3,309.00 | $6,474.00 | $13,810.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.19 / $244.50 / $366.75
| Facility | | $173.19 | $244.50 | $366.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,158.09 / $2,158.09 / $2,158.09
| Facility | | $2,158.09 | $2,158.09 | $2,158.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,364.00 / $6,094.00 / $10,413.00
| Facility | | $3,364.00 | $6,094.00 | $10,413.00 |