- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $3,477.00 / $7,467.00
| Facility | | $936.00 | $3,477.00 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,025.50 / $2,047.00 / $2,047.00
| Facility | 50 | $1,025.50 | $2,047.00 | $2,047.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,531.19 / $4,140.09
| Facility | | $672.35 | $2,531.19 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,469.03 / $4,469.03 / $4,469.03
| Facility | | $4,469.03 | $4,469.03 | $4,469.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.16 / $300.41 / $6,117.00
| Facility | | $210.16 | $300.41 | $6,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,021.00 / $4,635.00 / $7,217.00
| Facility | | $3,021.00 | $4,635.00 | $7,217.00 |