- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.82 / $534.82 / $9,469.00
| Facility | | $534.82 | $534.82 | $9,469.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,720.29 / $6,273.82 / $12,790.57
| Facility | | $2,720.29 | $6,273.82 | $12,790.57 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,888.77 / $11,968.99 / $20,986.56
| Facility | 50 | $7,888.77 | $11,968.99 | $20,986.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,249.73 / $1,950.51 / $4,692.22
| Facility | | $1,249.73 | $1,950.51 | $4,692.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.01 / $1,779.97 / $3,694.66
| Facility | | $1,083.01 | $1,779.97 | $3,694.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.17 / $986.11 / $2,100.00
| Facility | | $577.17 | $986.11 | $2,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,100.00 / $5,499.00 / $9,810.00
| Facility | | $2,100.00 | $5,499.00 | $9,810.00 |