- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $418.42 / $3,160.75 / $11,093.00
| Facility | | $418.42 | $3,160.75 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,339.92 / $5,745.02 / $9,064.91
| Facility | 50 | $2,339.92 | $5,745.02 | $9,064.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,321.00 / $7,890.00 / $21,000.00
| Facility | | $3,321.00 | $7,890.00 | $21,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.44 / $510.27 / $765.41
| Facility | | $361.44 | $510.27 | $765.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,251.04 / $3,251.04 / $3,251.04
| Facility | | $3,251.04 | $3,251.04 | $3,251.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,025.00 / $11,038.00
| Facility | | $3,932.00 | $8,025.00 | $11,038.00 |