- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.32 / $2,168.00 / $7,791.19
| Facility | | $531.32 | $2,168.00 | $7,791.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,677.15 / $5,792.97 / $10,098.06
| Facility | | $3,677.15 | $5,792.97 | $10,098.06 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $6,479.18 / $9,830.33 / $17,236.62
| Facility | 50 | $6,479.18 | $9,830.33 | $17,236.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.78 / $1,909.90 / $4,594.53
| Facility | | $1,346.78 | $1,909.90 | $4,594.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,094.83 / $1,746.11 / $3,617.74
| Facility | | $1,094.83 | $1,746.11 | $3,617.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $486.53 / $897.93 / $5,074.55
| Facility | | $486.53 | $897.93 | $5,074.55 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,485.01 / $4,485.01 / $4,603.06
| Facility | 50 | $4,485.01 | $4,485.01 | $4,603.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,735.00 / $4,974.00 / $8,812.00
| Facility | | $2,735.00 | $4,974.00 | $8,812.00 |