- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.82 / $2,674.29 / $11,093.00
| Facility | | $197.82 | $2,674.29 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,859.42 / $7,859.42 / $7,859.42
| Facility | 50 | $7,859.42 | $7,859.42 | $7,859.42 |
- 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
- $192.95 / $272.39 / $408.60
| Facility | | $192.95 | $272.39 | $408.60 |
- 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 |