- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.00 / $3,895.50 / $8,763.29
| Facility | | $291.00 | $3,895.50 | $8,763.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $12,037.50 / $12,037.50 / $12,037.50
| Facility | 50 | $12,037.50 | $12,037.50 | $12,037.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,959.63 / $9,881.04 / $15,842.73
| Facility | | $2,959.63 | $9,881.04 | $15,842.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.55 / $285.80 / $303.20
| Facility | | $224.55 | $285.80 | $303.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,834.00 / $6,599.00 / $7,158.00
| Facility | | $4,834.00 | $6,599.00 | $7,158.00 |