- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $957.00 / $3,683.00 / $12,600.00
| Facility | | $957.00 | $3,683.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,509.40 / $1,509.40 / $1,509.40
| Facility | 50 | $1,509.40 | $1,509.40 | $1,509.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,554.57 / $2,452.35 / $3,902.03
| Facility | | $1,554.57 | $2,452.35 | $3,902.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.03 / $711.54 / $7,992.00
| Facility | | $226.03 | $711.54 | $7,992.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.00 / $4,054.00 / $7,077.94
| Facility | | $1,157.00 | $4,054.00 | $7,077.94 |