- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $433.32 / $5,679.70 / $16,604.97
| Facility | | $433.32 | $5,679.70 | $16,604.97 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $9,629.84 / $9,629.84 / $9,629.84
| Facility | 50 | $9,629.84 | $9,629.84 | $9,629.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,719.00 / $8,766.00 / $16,307.00
| Facility | | $3,719.00 | $8,766.00 | $16,307.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.31 / $528.44 / $792.66
| Facility | | $374.31 | $528.44 | $792.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,379.37 / $3,379.37 / $3,379.37
| Facility | | $3,379.37 | $3,379.37 | $3,379.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,699.00 / $9,550.00 / $15,750.00
| Facility | | $4,699.00 | $9,550.00 | $15,750.00 |