- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.02 / $863.47 / $6,781.00
| Facility | | $627.02 | $863.47 | $6,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,483.63 / $4,428.85 / $8,819.95
| Facility | | $2,483.63 | $4,428.85 | $8,819.95 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,328.39 / $8,084.34 / $14,175.17
| Facility | 50 | $5,328.39 | $8,084.34 | $14,175.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.14 / $2,830.81 / $6,809.90
| Facility | | $1,995.14 | $2,830.81 | $6,809.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,622.74 / $2,588.04 / $5,362.13
| Facility | | $1,622.74 | $2,588.04 | $5,362.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $678.77 / $1,195.66 / $3,312.00
| Facility | | $678.77 | $1,195.66 | $3,312.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $13,164.75 / $13,164.75 / $13,164.75
| Facility | 50 | $13,164.75 | $13,164.75 | $13,164.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,740.00 / $4,289.00 / $8,193.00
| Facility | | $2,740.00 | $4,289.00 | $8,193.00 |