- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $569.07 / $9,062.00 / $14,644.00
| Facility | | $569.07 | $9,062.00 | $14,644.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,899.26 / $14,560.36 / $37,256.50
| Facility | 50 | $7,899.26 | $14,560.36 | $37,256.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,574.01 / $4,561.22 / $10,419.37
| Facility | | $1,574.01 | $4,561.22 | $10,419.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,086.58 / $3,086.58 / $3,966.31
| Facility | | $3,086.58 | $3,086.58 | $3,966.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $497.63 / $629.44 / $1,040.14
| Facility | | $497.63 | $629.44 | $1,040.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $944.16 / $944.16 / $1,301.36
| Facility | 50 | $944.16 | $944.16 | $1,301.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $12,798.00 / $19,665.00
| Facility | | $2,155.00 | $12,798.00 | $19,665.00 |