- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.97 / $3,414.00 / $7,858.00
| Facility | | $329.97 | $3,414.00 | $7,858.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,143.26 / $2,540.91 / $3,286.44
| Facility | 50 | $2,143.26 | $2,540.91 | $3,286.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,583.00 / $8,007.00 / $16,083.00
| Facility | | $4,583.00 | $8,007.00 | $16,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.52 / $1,990.00 / $8,917.50
| Facility | | $327.52 | $1,990.00 | $8,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.52 / $16,558.00 / $19,950.00
| Facility | | $265.52 | $16,558.00 | $19,950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.00 / $348.39 / $8,650.00
| Facility | | $250.00 | $348.39 | $8,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,088.24 / $7,088.24 / $7,088.24
| Facility | | $7,088.24 | $7,088.24 | $7,088.24 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,947.16 / $1,947.16 / $2,206.52
| Facility | 50 | $1,947.16 | $1,947.16 | $2,206.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.52 / $5,855.00 / $19,950.00
| Facility | | $265.52 | $5,855.00 | $19,950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,403.00 / $4,893.00 / $10,314.00
| Facility | | $2,403.00 | $4,893.00 | $10,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.37 / $252.37 / $1,007.78
| Facility | | $252.37 | $252.37 | $1,007.78 |