- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $3,388.44 / $5,623.41
| Facility | | $630.96 | $3,388.44 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,584.89 / $5,495.41 / $9,772.37
| Facility | 50 | $1,584.89 | $5,495.41 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $7,585.78 / $45,708.82
| Facility | | $1,380.38 | $7,585.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $1,122.02 / $7,079.46
| Facility | | $524.81 | $1,122.02 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,165.95 / $13,182.57
| Facility | | $2,511.89 | $6,165.95 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $4,265.80 / $15,135.61
| Facility | | $933.25 | $4,265.80 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $7,585.78 / $45,708.82
| Facility | | $1,380.38 | $7,585.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,309.57 / $13,803.84
| Facility | | $2,511.89 | $6,309.57 | $13,803.84 |