- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $700.00 / $3,999.00 / $8,229.00
| Facility | | $700.00 | $3,999.00 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,367.58 / $7,318.64 / $8,350.18
| Facility | 50 | $5,367.58 | $7,318.64 | $8,350.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,456.00 / $4,247.00 / $8,800.00
| Facility | | $2,456.00 | $4,247.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,727.04 / $1,743.57 / $2,283.98
| Facility | | $1,727.04 | $1,743.57 | $2,283.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.00 / $5,735.00 / $9,622.00
| Facility | | $2,637.00 | $5,735.00 | $9,622.00 |