- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.36 / $9,325.69 / $20,155.56
| Facility | | $232.36 | $9,325.69 | $20,155.56 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,950.73 / $7,950.73 / $16,027.20
| Facility | 50 | $7,950.73 | $7,950.73 | $16,027.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,811.35 / $3,883.00 / $6,494.50
| Facility | | $1,811.35 | $3,883.00 | $6,494.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.71 / $272.57 / $305.75
| Facility | | $200.71 | $272.57 | $305.75 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $411.02 / $411.02 / $423.06
| Facility | 50 | $411.02 | $411.02 | $423.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.00 / $1,221.00 / $3,585.00
| Facility | | $225.00 | $1,221.00 | $3,585.00 |