- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $4,610.00 / $10,043.00
| Facility | | $1,547.00 | $4,610.00 | $10,043.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,891.70 / $3,760.50 / $6,904.04
| Facility | 50 | $2,891.70 | $3,760.50 | $6,904.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.00 / $4,279.00 / $9,663.00
| Facility | | $2,088.00 | $4,279.00 | $9,663.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $730.00 / $5,493.00 / $7,292.00
| Facility | | $730.00 | $5,493.00 | $7,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $508.04 / $2,237.00 / $26,542.00
| Facility | | $508.04 | $2,237.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,644.00 / $2,874.00 / $5,813.00
| Facility | | $1,644.00 | $2,874.00 | $5,813.00 |