- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.51 / $3,414.00 / $8,042.03
| Facility | | $428.51 | $3,414.00 | $8,042.03 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,532.90 / $3,153.17 / $4,349.45
| Facility | 50 | $2,532.90 | $3,153.17 | $4,349.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,321.00 / $7,362.00 / $16,083.00
| Facility | | $3,321.00 | $7,362.00 | $16,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,555.20 / $3,075.43 / $3,366.59
| Facility | | $2,555.20 | $3,075.43 | $3,366.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,838.00 / $5,068.00 / $9,622.00
| Facility | | $2,838.00 | $5,068.00 | $9,622.00 |