- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,022.00 / $4,616.41 / $11,576.00
| Facility | | $1,022.00 | $4,616.41 | $11,576.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,506.29 / $17,486.56 / $17,486.56
| Facility | 50 | $5,506.29 | $17,486.56 | $17,486.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.00 / $400.00 / $10,000.00
| Facility | | $323.00 | $400.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,460.00 / $21,162.00 / $32,051.00
| Facility | | $9,460.00 | $21,162.00 | $32,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $677.00 / $5,350.00 / $13,093.00
| Facility | | $677.00 | $5,350.00 | $13,093.00 |