- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $727.17 / $3,612.00 / $12,600.00
| Facility | | $727.17 | $3,612.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $627.45 / $795.51 / $4,208.25
| Facility | 50 | $627.45 | $795.51 | $4,208.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,481.52 / $11,802.18 / $18,778.93
| Facility | | $7,481.52 | $11,802.18 | $18,778.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.66 / $949.15 / $7,992.00
| Facility | | $424.66 | $949.15 | $7,992.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,100.81 / $2,100.81 / $9,453.50
| Facility | 50 | $2,100.81 | $2,100.81 | $9,453.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,091.00 / $4,424.00 / $7,077.94
| Facility | | $1,091.00 | $4,424.00 | $7,077.94 |