- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.04 / $4,470.00 / $11,271.00
| Facility | | $313.04 | $4,470.00 | $11,271.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,109.02 / $6,674.91 / $6,674.91
| Facility | 50 | $1,109.02 | $6,674.91 | $6,674.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $862.00 / $2,274.00 / $7,018.00
| Facility | | $862.00 | $2,274.00 | $7,018.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,533.00 / $13,106.00 / $17,811.00
| Facility | | $11,533.00 | $13,106.00 | $17,811.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $201.06 / $411.59 / $21,814.90
| Facility | | $201.06 | $411.59 | $21,814.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,748.00 / $3,527.00 / $6,944.00
| Facility | | $1,748.00 | $3,527.00 | $6,944.00 |