- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $703.48 / $3,272.92 / $7,943.69
| Facility | | $703.48 | $3,272.92 | $7,943.69 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,411.50 / $2,411.50 / $2,411.50
| Facility | 50 | $2,411.50 | $2,411.50 | $2,411.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,302.10 / $5,125.66 / $9,678.00
| Facility | | $3,302.10 | $5,125.66 | $9,678.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,745.52 / $2,106.17 / $2,706.47
| Facility | | $1,745.52 | $2,106.17 | $2,706.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,343.00 / $5,105.63 / $8,422.00
| Facility | | $2,343.00 | $5,105.63 | $8,422.00 |