- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $778.00 / $6,086.00 / $14,333.00
| Facility | | $778.00 | $6,086.00 | $14,333.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,397.50 / $3,727.47 / $21,215.70
| Facility | 50 | $1,397.50 | $3,727.47 | $21,215.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,417.98 / $12,484.00 / $54,020.00
| Facility | | $2,417.98 | $12,484.00 | $54,020.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,855.00 / $12,742.00 / $23,031.00
| Facility | | $5,855.00 | $12,742.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.00 / $8,136.00 / $12,748.00
| Facility | | $2,637.00 | $8,136.00 | $12,748.00 |