- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.48 / $4,933.00 / $13,063.23
| Facility | | $760.48 | $4,933.00 | $13,063.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,999.17 / $2,330.10 / $3,156.92
| Facility | | $1,999.17 | $2,330.10 | $3,156.92 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,071.24 / $1,461.70 / $2,055.50
| Facility | 50 | $1,071.24 | $1,461.70 | $2,055.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $753.22 / $4,933.00 / $13,063.23
| Facility | | $753.22 | $4,933.00 | $13,063.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.00 / $5,048.00 / $8,339.00
| Facility | | $2,248.00 | $5,048.00 | $8,339.00 |