- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.40 / $944.80 / $6,735.00
| Facility | | $175.40 | $944.80 | $6,735.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.57 / $2,345.21 / $3,496.86
| Facility | 50 | $0.57 | $2,345.21 | $3,496.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $175.41 / $303.00 / $472.04
| Facility | | $175.41 | $303.00 | $472.04 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $382.92 / $454.50 / $766.58
| Facility | 50 | $382.92 | $454.50 | $766.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,526.00 / $7,659.00 / $10,502.00
| Facility | | $2,526.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.80 / $9,133.70 / $26,542.00
| Facility | | $1,000.80 | $9,133.70 | $26,542.00 |