- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,221.35 / $4,261.00 / $13,151.00
| Facility | | $1,221.35 | $4,261.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,121.50 / $6,372.00 / $15,127.50
| Facility | 50 | $3,121.50 | $6,372.00 | $15,127.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,224.00 / $4,643.00 / $17,951.00
| Facility | | $2,224.00 | $4,643.00 | $17,951.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,488.00 / $13,882.00 / $15,775.00
| Facility | | $7,488.00 | $13,882.00 | $15,775.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $939.51 / $1,915.15 / $20,551.18
| Facility | | $939.51 | $1,915.15 | $20,551.18 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,727.74 / $5,727.74 / $7,863.00
| Facility | 50 | $5,727.74 | $5,727.74 | $7,863.00 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $278.60 / $1,442.13 / $1,442.13
| Facility | AS | $278.60 | $1,442.13 | $1,442.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $4,000.00 / $10,781.00
| Facility | | $2,156.00 | $4,000.00 | $10,781.00 |