- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.19 / $4,204.20 / $11,269.00
| Facility | | $415.19 | $4,204.20 | $11,269.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,414.00 / $10,414.00 / $10,414.00
| Facility | 50 | $10,414.00 | $10,414.00 | $10,414.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,138.94 / $5,228.39 / $9,226.56
| Facility | | $2,138.94 | $5,228.39 | $9,226.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $715.00 / $1,221.33 / $1,569.43
| Facility | | $715.00 | $1,221.33 | $1,569.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.10 / $436.61 / $708.42
| Facility | | $328.10 | $436.61 | $708.42 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $531.00 / $654.78 / $930.00
| Facility | 50 | $531.00 | $654.78 | $930.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $791.00 / $10,257.00 / $16,249.00
| Facility | | $791.00 | $10,257.00 | $16,249.00 |