- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $8,477.27 / $21,899.37
| Facility | | $5,463.36 | $8,477.27 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,768.09 / $3,768.09 / $3,768.09
| Facility | 50 | $3,768.09 | $3,768.09 | $3,768.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,506.16 / $12,883.29 / $24,185.23
| Facility | | $9,506.16 | $12,883.29 | $24,185.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,157.23 / $1,995.10 / $9,653.94
| Facility | | $1,157.23 | $1,995.10 | $9,653.94 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $1,442.13 / $1,442.13 / $1,442.13
| Facility | AS | $1,442.13 | $1,442.13 | $1,442.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,042.83 / $2,841.44 / $5,062.45
| Facility | | $2,042.83 | $2,841.44 | $5,062.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |