- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.52 / $6,362.49 / $9,459.00
| Facility | | $528.52 | $6,362.49 | $9,459.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,105.83 / $8,105.83 / $8,105.83
| Facility | 50 | $8,105.83 | $8,105.83 | $8,105.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.60 / $436.52 / $802.82
| Facility | | $314.60 | $436.52 | $802.82 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $592.50 / $654.78 / $1,204.23
| Facility | 50 | $592.50 | $654.78 | $1,204.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,526.00 / $7,659.00 / $10,502.00
| Facility | | $2,526.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,195.44 / $5,444.45 / $26,542.00
| Facility | | $1,195.44 | $5,444.45 | $26,542.00 |