- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.77 / $4,085.00 / $10,268.00
| Facility | | $294.77 | $4,085.00 | $10,268.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,109.23 / $5,087.47 / $11,248.51
| Facility | 50 | $2,109.23 | $5,087.47 | $11,248.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,895.00 / $5,211.00 / $29,406.00
| Facility | | $1,895.00 | $5,211.00 | $29,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $189.74 / $227.69 / $355.77
| Facility | | $189.74 | $227.69 | $355.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,840.00 / $5,998.00 / $7,847.00
| Facility | | $2,840.00 | $5,998.00 | $7,847.00 |