- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,261.08 / $6,770.00 / $11,627.00
| Facility | | $1,261.08 | $6,770.00 | $11,627.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,616.02 / $4,895.12 / $16,294.50
| Facility | 50 | $1,616.02 | $4,895.12 | $16,294.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,712.00 / $3,405.00 / $14,996.00
| Facility | | $1,712.00 | $3,405.00 | $14,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795.12 / $974.79 / $1,994.14
| Facility | | $795.12 | $974.79 | $1,994.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $738.22 / $1,469.12 / $21,571.00
| Facility | | $738.22 | $1,469.12 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,469.12 / $1,638.24 / $3,963.48
| Facility | | $1,469.12 | $1,638.24 | $3,963.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $5,460.00 / $7,847.00
| Facility | | $2,155.00 | $5,460.00 | $7,847.00 |