- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.22 / $2,756.25 / $9,062.00
| Facility | | $426.22 | $2,756.25 | $9,062.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,715.01 / $2,715.01 / $2,715.01
| Facility | 50 | $2,715.01 | $2,715.01 | $2,715.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.97 / $1,222.86 / $2,159.51
| Facility | | $600.97 | $1,222.86 | $2,159.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.26 / $238.16 / $365.70
| Facility | | $170.26 | $238.16 | $365.70 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $311.13 / $376.80 / $567.37
| Facility | 50 | $311.13 | $376.80 | $567.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $461.00 / $3,866.00 / $6,584.00
| Facility | | $461.00 | $3,866.00 | $6,584.00 |