- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.00 / $498.00 / $3,638.00
| Facility | | $498.00 | $498.00 | $3,638.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,440.11 / $34,411.85 / $77,741.20
| Facility | | $2,440.11 | $34,411.85 | $77,741.20 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $49,880.81 / $75,680.09 / $132,698.35
| Facility | 50 | $49,880.81 | $75,680.09 | $132,698.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,239.81 / $1,758.21 / $4,229.60
| Facility | | $1,239.81 | $1,758.21 | $4,229.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,007.88 / $1,607.42 / $3,330.40
| Facility | | $1,007.88 | $1,607.42 | $3,330.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.24 / $1,032.61 / $13,757.00
| Facility | | $641.24 | $1,032.61 | $13,757.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,341.85 / $6,341.85 / $6,341.85
| Facility | 50 | $6,341.85 | $6,341.85 | $6,341.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,891.00 / $13,757.00 / $32,027.00
| Facility | | $5,891.00 | $13,757.00 | $32,027.00 |