- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.36 / $1,016.26 / $4,828.00
| Facility | | $191.36 | $1,016.26 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,320.71 / $6,475.03 / $12,389.06
| Facility | | $3,320.71 | $6,475.03 | $12,389.06 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,949.16 / $12,060.61 / $21,147.21
| Facility | 50 | $7,949.16 | $12,060.61 | $21,147.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,493.94 / $3,536.72 / $8,508.06
| Facility | | $2,493.94 | $3,536.72 | $8,508.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,027.40 / $3,233.41 / $6,699.26
| Facility | | $2,027.40 | $3,233.41 | $6,699.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.39 / $1,607.21 / $6,927.00
| Facility | | $306.39 | $1,607.21 | $6,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |