- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,640.50 / $3,617.00 / $7,283.00
| Facility | | $1,640.50 | $3,617.00 | $7,283.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,168.25 / $3,942.00 / $7,139.00
| Facility | 50 | $2,168.25 | $3,942.00 | $7,139.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,515.38 / $4,140.09
| Facility | | $672.35 | $2,515.38 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,049.52 / $3,049.52 / $3,049.52
| Facility | | $3,049.52 | $3,049.52 | $3,049.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $337.38 / $482.45 / $6,117.00
| Facility | | $337.38 | $482.45 | $6,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,545.00 / $7,217.00
| Facility | | $2,912.00 | $4,545.00 | $7,217.00 |