- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $477.57 / $2,279.00 / $7,082.02
| Facility | | $477.57 | $2,279.00 | $7,082.02 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,402.21 / $2,402.21 / $6,752.40
| Facility | 50 | $2,402.21 | $2,402.21 | $6,752.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.00 / $3,931.00 / $8,240.00
| Facility | | $1,759.00 | $3,931.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,212.51 / $1,212.51 / $1,286.40
| Facility | | $1,212.51 | $1,212.51 | $1,286.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $1,925.00 / $4,132.00
| Facility | | $1,020.00 | $1,925.00 | $4,132.00 |