- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $6,456.54 / $10,471.29
| Facility | | $1,348.96 | $6,456.54 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,244.36 / $7,585.78 / $10,232.93
| Facility | 50 | $7,244.36 | $7,585.78 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,000.00 / $57,543.99
| Facility | | $9,549.93 | $10,000.00 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $17,378.01 / $38,904.51
| Facility | | $7,762.47 | $17,378.01 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,943.28 / $19,498.45 / $24,547.09
| Facility | 50 | $7,943.28 | $19,498.45 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $5,495.41 / $10,471.29
| Facility | | $1,122.02 | $5,495.41 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,244.36 / $7,585.78 / $10,232.93
| Facility | 50 | $7,244.36 | $7,585.78 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,348.96 / $2,398.83
| Facility | | $1,348.96 | $1,348.96 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $1,047.13 / $1,202.26
| Facility | | $1,047.13 | $1,047.13 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $4,466.84 / $20,417.38
| Facility | | $2,344.23 | $4,466.84 | $20,417.38 |