- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $7,762.47 / $26,302.68
| Facility | | $5,248.07 | $7,762.47 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $8,128.31 / $13,489.63 / $35,481.34
| Facility | 50 | $8,128.31 | $13,489.63 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,288.25 / $1,698.24
| Facility | | $1,023.29 | $1,288.25 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $1,621.81 / $2,290.87
| Facility | | $1,621.81 | $1,621.81 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,949.84 / $1,949.84 / $1,949.84
| Facility | 22 | $1,949.84 | $1,949.84 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $162.18 / $162.18 / $162.18
| Facility | AS | $162.18 | $162.18 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $15,488.17 / $30,902.95
| Facility | | $4,073.80 | $15,488.17 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $20,417.38 / $23,442.29 / $63,095.73
| Facility | 50 | $20,417.38 | $23,442.29 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $2,884.03 / $18,620.87
| Facility | | $2,884.03 | $2,884.03 | $18,620.87 |