- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.97 / $4,051.00 / $9,872.00
| Facility | | $789.97 | $4,051.00 | $9,872.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,632.99 / $4,326.87 / $10,880.25
| Facility | 50 | $1,632.99 | $4,326.87 | $10,880.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,583.00 / $8,007.00 / $16,083.00
| Facility | | $4,583.00 | $8,007.00 | $16,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,558.05 / $3,251.04 / $3,966.31
| Facility | | $2,558.05 | $3,251.04 | $3,966.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.00 / $5,735.00 / $9,622.00
| Facility | | $2,637.00 | $5,735.00 | $9,622.00 |