- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $373.48 / $2,318.00 / $18,742.09
| Facility | | $373.48 | $2,318.00 | $18,742.09 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,809.28 / $3,809.28 / $3,809.28
| Facility | 50 | $3,809.28 | $3,809.28 | $3,809.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,807.00 / $6,653.00 / $11,752.00
| Facility | | $2,807.00 | $6,653.00 | $11,752.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $383.17 / $522.51 / $783.77
| Facility | | $383.17 | $522.51 | $783.77 |
- 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
- $3,364.00 / $6,094.00 / $10,413.00
| Facility | | $3,364.00 | $6,094.00 | $10,413.00 |