- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $6,024.00 / $11,576.00
| Facility | | $1,000.00 | $6,024.00 | $11,576.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,726.00 / $6,726.00 / $7,773.00
| Facility | 50 | $6,726.00 | $6,726.00 | $7,773.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $611.00 / $1,581.91 / $1,883.22
| Facility | | $611.00 | $1,581.91 | $1,883.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,078.00 / $11,764.00 / $22,518.00
| Facility | | $6,078.00 | $11,764.00 | $22,518.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.00 / $8,267.00 / $12,748.00
| Facility | | $2,637.00 | $8,267.00 | $12,748.00 |