- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.19 / $5,072.00 / $11,581.00
| Facility | | $476.19 | $5,072.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.90 / $3,735.00 / $5,220.00
| Facility | 50 | $0.90 | $3,735.00 | $5,220.00 |
- 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
- $360.17 / $432.20 / $675.32
| Facility | | $360.17 | $432.20 | $675.32 |
- 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
- $2,233.00 / $4,383.00 / $6,522.00
| Facility | | $2,233.00 | $4,383.00 | $6,522.00 |