- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.77 / $570.04 / $2,168.00
| Facility | | $77.77 | $570.04 | $2,168.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $889.40 / $3,285.55 / $7,238.46
| Facility | | $889.40 | $3,285.55 | $7,238.46 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,644.39 / $7,046.57 / $12,355.53
| Facility | 50 | $4,644.39 | $7,046.57 | $12,355.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,388.05 / $1,968.43 / $4,735.32
| Facility | | $1,388.05 | $1,968.43 | $4,735.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,128.39 / $1,799.62 / $3,728.60
| Facility | | $1,128.39 | $1,799.62 | $3,728.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.00 / $913.43 / $3,307.00
| Facility | | $137.00 | $913.43 | $3,307.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,523.00 / $4,939.26 / $6,777.12
| Facility | | $2,523.00 | $4,939.26 | $6,777.12 |