- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.00 / $4,051.00 / $8,451.00
| Facility | | $1,301.00 | $4,051.00 | $8,451.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,986.00 / $8,986.00 / $9,077.00
| Facility | 50 | $8,986.00 | $8,986.00 | $9,077.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,371.69 / $2,824.78 / $9,530.21
| Facility | | $2,371.69 | $2,824.78 | $9,530.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $4,761.00 / $8,427.00
| Facility | | $1,013.00 | $4,761.00 | $8,427.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,986.00 / $8,986.00 / $9,077.00
| Facility | 50 | $8,986.00 | $8,986.00 | $9,077.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,078.02 / $2,238.30 / $2,238.30
| Facility | | $2,078.02 | $2,238.30 | $2,238.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.00 / $2,391.00 / $6,322.00
| Facility | | $625.00 | $2,391.00 | $6,322.00 |