- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $271.39 / $2,340.00 / $8,017.00
| Facility | | $271.39 | $2,340.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $459.52 / $459.52 / $4,954.06
| Facility | 50 | $459.52 | $459.52 | $4,954.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,030.51 / $3,166.39 / $6,336.00
| Facility | | $1,030.51 | $3,166.39 | $6,336.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $657.74 / $657.74 / $657.74
| Facility | 50 | $657.74 | $657.74 | $657.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.77 / $2,381.00 / $8,017.00
| Facility | | $289.77 | $2,381.00 | $8,017.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $459.52 / $1,583.00 / $4,954.06
| Facility | 50 | $459.52 | $1,583.00 | $4,954.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.22 / $151.22 / $200.40
| Facility | | $151.22 | $151.22 | $200.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $435.00 / $1,305.00 / $3,742.00
| Facility | | $435.00 | $1,305.00 | $3,742.00 |