- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $674.00 / $3,416.47 / $8,029.51
| Facility | | $674.00 | $3,416.47 | $8,029.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,767.88 / $10,767.88 / $10,767.88
| Facility | 50 | $10,767.88 | $10,767.88 | $10,767.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,393.00 / $4,120.00 / $8,800.00
| Facility | | $2,393.00 | $4,120.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,745.52 / $2,106.17 / $2,575.46
| Facility | | $1,745.52 | $2,106.17 | $2,575.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,981.00 / $3,951.00 / $7,934.00
| Facility | | $1,981.00 | $3,951.00 | $7,934.00 |