- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $778.00 / $6,024.00 / $11,624.00
| Facility | | $778.00 | $6,024.00 | $11,624.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,942.63 / $8,311.50 / $9,358.71
| Facility | 50 | $4,942.63 | $8,311.50 | $9,358.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $611.00 / $1,022.68 / $1,217.48
| Facility | | $611.00 | $1,022.68 | $1,217.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,105.00 / $5,731.00 / $11,037.00
| Facility | | $3,105.00 | $5,731.00 | $11,037.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,681.00 / $5,811.00 / $10,057.00
| Facility | | $1,681.00 | $5,811.00 | $10,057.00 |