- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,185.39 / $4,051.00 / $8,240.00
| Facility | | $1,185.39 | $4,051.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,655.00 / $9,436.00 / $9,436.00
| Facility | 50 | $7,655.00 | $9,436.00 | $9,436.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $28,970.26
| Facility | | $8,639.91 | $11,851.00 | $28,970.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,495.40 / $19,950.39 / $22,366.65
| Facility | | $12,495.40 | $19,950.39 | $22,366.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,185.39 / $4,761.00 / $8,247.00
| Facility | | $1,185.39 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,655.00 / $7,655.00 / $9,436.00
| Facility | 50 | $7,655.00 | $7,655.00 | $9,436.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.36 / $1,078.36 / $1,140.94
| Facility | | $1,078.36 | $1,078.36 | $1,140.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,914.00 / $7,000.00
| Facility | | $2,332.00 | $3,914.00 | $7,000.00 |