- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $973.06 / $4,043.00 / $10,296.00
| Facility | | $973.06 | $4,043.00 | $10,296.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,024.57 / $10,024.57 / $10,024.57
| Facility | 50 | $10,024.57 | $10,024.57 | $10,024.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,574.00 / $7,688.00 / $14,242.23
| Facility | | $4,574.00 | $7,688.00 | $14,242.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,134.88 / $1,134.88 / $37,499.62
| Facility | | $1,134.88 | $1,134.88 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $919.21 / $919.21 / $7,227.90
| Facility | | $919.21 | $919.21 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $319.00 / $1,355.63 / $2,184.00
| Facility | | $319.00 | $1,355.63 | $2,184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $919.21 / $7,227.90
| Facility | | $555.00 | $919.21 | $7,227.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $863.17 / $863.17 / $2,623.73
| Facility | | $863.17 | $863.17 | $2,623.73 |