- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $3,477.00 / $7,467.00
| Facility | | $936.00 | $3,477.00 | $7,467.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,718.75 / $5,655.00 / $8,634.46
| Facility | 50 | $2,718.75 | $5,655.00 | $8,634.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.35 / $2,613.46 / $4,140.09
| Facility | | $672.35 | $2,613.46 | $4,140.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $600.00 / $697.00
| Facility | | $600.00 | $600.00 | $697.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $474.32 / $1,599.00 / $5,107.00
| Facility | | $474.32 | $1,599.00 | $5,107.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,286.00 / $3,339.00 / $5,838.00
| Facility | | $2,286.00 | $3,339.00 | $5,838.00 |