- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.85 / $5,072.00 / $11,581.00
| Facility | | $551.85 | $5,072.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,400.53 / $11,013.00 / $11,013.00
| Facility | 50 | $6,400.53 | $11,013.00 | $11,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,152.00 / $3,025.00 / $8,800.00
| Facility | | $1,152.00 | $3,025.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $305.26 / $366.31 / $572.37
| Facility | | $305.26 | $366.31 | $572.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,904.67 / $10,904.67 / $10,904.67
| Facility | | $10,904.67 | $10,904.67 | $10,904.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,383.00 / $6,522.00
| Facility | | $2,233.00 | $4,383.00 | $6,522.00 |