- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,296.96 / $7,899.00 / $11,581.00
| Facility | | $2,296.96 | $7,899.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,544.75 / $6,544.75 / $6,544.75
| Facility | 50 | $6,544.75 | $6,544.75 | $6,544.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,097.00 / $8,010.00 / $36,529.00
| Facility | | $2,097.00 | $8,010.00 | $36,529.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,060.80 / $1,272.96 / $1,690.65
| Facility | | $1,060.80 | $1,272.96 | $1,690.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,081.96 / $6,779.99 / $19,867.05
| Facility | | $6,081.96 | $6,779.99 | $19,867.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,206.00 / $6,578.00 / $10,075.00
| Facility | | $3,206.00 | $6,578.00 | $10,075.00 |