- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.58 / $3,050.22 / $9,152.35
| Facility | | $933.58 | $3,050.22 | $9,152.35 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,333.98 / $14,654.95 / $14,654.95
| Facility | 50 | $3,333.98 | $14,654.95 | $14,654.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,575.52 / $10,010.21 / $13,636.67
| Facility | | $8,575.52 | $10,010.21 | $13,636.67 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $4,627.33 / $6,314.00 / $9,246.03
| Facility | 50 | $4,627.33 | $6,314.00 | $9,246.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $807.56 / $2,936.25 / $6,907.00
| Facility | | $807.56 | $2,936.25 | $6,907.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,333.98 / $14,654.95 / $14,654.95
| Facility | 50 | $3,333.98 | $14,654.95 | $14,654.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,296.00 / $7,849.00 / $9,202.00
| Facility | | $3,296.00 | $7,849.00 | $9,202.00 |