- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $9,120.11 / $19,054.61
| Facility | | $1,479.11 | $9,120.11 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,232.93 / $16,595.87 / $37,153.52
| Facility | 50 | $10,232.93 | $16,595.87 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $7,585.78 / $16,218.10
| Facility | | $2,754.23 | $7,585.78 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $3,388.44 / $4,365.16
| Facility | | $707.95 | $3,388.44 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,479.11 / $2,511.89
| Facility | | $1,000.00 | $1,479.11 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $17,378.01 / $26,302.68
| Facility | | $6,309.57 | $17,378.01 | $26,302.68 |