- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $765.30 / $4,683.00 / $11,396.00
| Facility | | $765.30 | $4,683.00 | $11,396.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,800.75 / $11,149.37 / $11,149.37
| Facility | 50 | $10,800.75 | $11,149.37 | $11,149.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,385.00 / $4,133.00 / $9,074.00
| Facility | | $2,385.00 | $4,133.00 | $9,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $821.97 / $2,644.00 / $12,319.50
| Facility | | $821.97 | $2,644.00 | $12,319.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $971.41 / $971.41 / $1,424.38
| Facility | | $971.41 | $971.41 | $1,424.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.00 / $640.50 / $1,488.15
| Facility | | $332.00 | $640.50 | $1,488.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $971.41 / $74,999.25
| Facility | | $555.00 | $971.41 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,031.00 / $3,963.00 / $8,208.00
| Facility | | $2,031.00 | $3,963.00 | $8,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $798.34 / $798.34 / $1,717.48
| Facility | | $798.34 | $798.34 | $1,717.48 |