- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,184.67 / $7,917.00 / $18,125.52
| Facility | | $1,184.67 | $7,917.00 | $18,125.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $14,955.56 / $14,955.56 / $14,955.56
| Facility | 50 | $14,955.56 | $14,955.56 | $14,955.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,764.24 / $11,061.00 / $26,709.00
| Facility | | $4,764.24 | $11,061.00 | $26,709.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.00 / $12,759.00 / $23,031.00
| Facility | | $5,979.00 | $12,759.00 | $23,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,320.00 / $10,309.00 / $15,888.00
| Facility | | $3,320.00 | $10,309.00 | $15,888.00 |