- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.75 / $2,796.60 / $14,063.00
| Facility | | $424.75 | $2,796.60 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,442.72 / $4,442.72 / $4,442.72
| Facility | 50 | $4,442.72 | $4,442.72 | $4,442.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,807.00 / $6,653.00 / $11,752.00
| Facility | | $2,807.00 | $6,653.00 | $11,752.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $413.18 / $553.14 / $836.69
| Facility | | $413.18 | $553.14 | $836.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.18 / $674.90 / $1,375.01
| Facility | | $505.18 | $674.90 | $1,375.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,399.00 / $5,995.00 / $10,413.00
| Facility | | $1,399.00 | $5,995.00 | $10,413.00 |