- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,507.25 / $3,121.00 / $7,467.00
| Facility | | $1,507.25 | $3,121.00 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,812.50 / $9,043.50 / $9,043.50
| Facility | 50 | $1,812.50 | $9,043.50 | $9,043.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,515.38 / $4,140.09
| Facility | | $672.35 | $2,515.38 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,469.03 / $4,469.03 / $4,469.03
| Facility | | $4,469.03 | $4,469.03 | $4,469.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.26 / $348.69 / $6,117.00
| Facility | | $244.26 | $348.69 | $6,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,161.00 / $4,635.00 / $7,217.00
| Facility | | $3,161.00 | $4,635.00 | $7,217.00 |