- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,170.00 / $2,771.00 / $7,562.14
| Facility | | $1,170.00 | $2,771.00 | $7,562.14 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,712.25 / $1,712.25 / $1,826.40
| Facility | 50 | $1,712.25 | $1,712.25 | $1,826.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.20 / $314.52 / $518.16
| Facility | | $79.20 | $314.52 | $518.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.10 / $92.10 / $92.10
| Facility | | $92.10 | $92.10 | $92.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.37 / $124.32 / $1,924.00
| Facility | | $77.37 | $124.32 | $1,924.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,451.78 / $1,451.78 / $1,451.78
| Facility | 50 | $1,451.78 | $1,451.78 | $1,451.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $716.00 / $1,535.00 / $2,175.00
| Facility | | $716.00 | $1,535.00 | $2,175.00 |