- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.87 / $5,072.00 / $11,581.00
| Facility | | $748.87 | $5,072.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,580.50 / $6,580.50 / $6,580.50
| Facility | 50 | $6,580.50 | $6,580.50 | $6,580.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,009.00 / $4,142.00 / $19,117.00
| Facility | | $2,009.00 | $4,142.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.41 / $469.69 / $733.89
| Facility | | $391.41 | $469.69 | $733.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,383.00 / $6,522.00
| Facility | | $2,233.00 | $4,383.00 | $6,522.00 |