- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $2,691.53 / $8,317.64
| Facility | | $660.69 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,691.53 / $2,691.53 / $5,370.32
| Facility | 50 | $2,691.53 | $2,691.53 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $57,543.99
| Facility | | $5,011.87 | $6,165.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $5,888.44 / $7,585.78
| Facility | | $1,584.89 | $5,888.44 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,370.32 / $6,165.95 / $15,135.61
| Facility | 50 | $5,370.32 | $6,165.95 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $2,290.87 / $8,317.64
| Facility | | $616.60 | $2,290.87 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,691.53 / $2,691.53 / $5,370.32
| Facility | 50 | $2,691.53 | $2,691.53 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $309.03 / $416.87
| Facility | | $125.89 | $309.03 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,548.13 / $8,912.51
| Facility | | $1,348.96 | $3,548.13 | $8,912.51 |