- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $769.00 / $5,930.65 / $11,576.00
| Facility | | $769.00 | $5,930.65 | $11,576.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,430.00 / $14,070.39 / $14,070.39
| Facility | 50 | $2,430.00 | $14,070.39 | $14,070.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $611.00 / $1,605.10 / $1,910.83
| Facility | | $611.00 | $1,605.10 | $1,910.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,855.00 / $12,742.00 / $23,031.00
| Facility | | $5,855.00 | $12,742.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,869.00 / $5,845.00 / $9,684.00
| Facility | | $1,869.00 | $5,845.00 | $9,684.00 |