- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $4,786.30 / $11,220.18
| Facility | | $602.56 | $4,786.30 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.51 / $3,630.78 / $21,379.62
| Facility | 50 | $0.51 | $3,630.78 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,454.71 / $4,677.35 / $12,022.64
| Facility | | $2,454.71 | $4,677.35 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $676.08 / $2,511.89
| Facility | | $316.23 | $676.08 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $1,148.15 / $3,630.78
| Facility | | $234.42 | $1,148.15 | $3,630.78 |