- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.38 / $1,397.00 / $3,656.25
| Facility | | $426.38 | $1,397.00 | $3,656.25 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,098.04 / $5,098.04 / $5,098.04
| Facility | 50 | $5,098.04 | $5,098.04 | $5,098.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,259.72 / $3,259.72 / $3,911.66
| Facility | | $3,259.72 | $3,259.72 | $3,911.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,349.57 / $2,349.57 / $2,349.57
| Facility | | $2,349.57 | $2,349.57 | $2,349.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,240.00 / $2,311.00 / $5,652.00
| Facility | | $1,240.00 | $2,311.00 | $5,652.00 |