- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $6,456.54 / $19,054.61
| Facility | | $588.84 | $6,456.54 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,912.51 / $9,772.37 / $9,772.37
| Facility | 50 | $8,912.51 | $9,772.37 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $588.84 / $724.44
| Facility | | $588.84 | $588.84 | $724.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $954.99 / $1,862.09
| Facility | | $954.99 | $954.99 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $11,748.98 / $30,199.52
| Facility | | $11,748.98 | $11,748.98 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,585.78 / $13,182.57 / $25,703.96
| Facility | 50 | $7,585.78 | $13,182.57 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $3,548.13 / $20,417.38
| Facility | | $3,548.13 | $3,548.13 | $20,417.38 |