- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.48 / $3,691.30 / $10,188.86
| Facility | | $321.48 | $3,691.30 | $10,188.86 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,346.69 / $1,346.69 / $1,346.69
| Facility | 50 | $1,346.69 | $1,346.69 | $1,346.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.00 / $5,948.00 / $9,462.00
| Facility | | $2,754.00 | $5,948.00 | $9,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.83 / $450.12 / $675.18
| Facility | | $318.83 | $450.12 | $675.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,218.40 / $2,218.40 / $2,218.40
| Facility | | $2,218.40 | $2,218.40 | $2,218.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,025.00 / $11,038.00
| Facility | | $3,932.00 | $8,025.00 | $11,038.00 |