- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $747.96 / $4,139.50 / $8,977.34
| Facility | | $747.96 | $4,139.50 | $8,977.34 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,809.28 / $4,500.00 / $5,736.42
| Facility | 50 | $3,809.28 | $4,500.00 | $5,736.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,740.00 / $4,120.00 / $8,800.00
| Facility | | $2,740.00 | $4,120.00 | $8,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,727.04 / $1,743.57 / $2,283.98
| Facility | | $1,727.04 | $1,743.57 | $2,283.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,981.00 / $3,951.00 / $7,934.00
| Facility | | $1,981.00 | $3,951.00 | $7,934.00 |