- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $775.00 / $4,430.50 / $9,183.09
| Facility | | $775.00 | $4,430.50 | $9,183.09 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,758.39 / $9,099.02 / $9,099.02
| Facility | 50 | $8,758.39 | $9,099.02 | $9,099.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,283.00 / $4,945.58 / $10,076.00
| Facility | | $3,283.00 | $4,945.58 | $10,076.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,696.18 / $1,696.18 / $2,234.79
| Facility | | $1,696.18 | $1,696.18 | $2,234.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,113.00 / $4,269.00 / $7,501.00
| Facility | | $2,113.00 | $4,269.00 | $7,501.00 |