- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $588.84 / $6,165.95
| Facility | | $588.84 | $588.84 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,019.95 / $3,019.95 / $3,019.95
| Facility | 50 | $3,019.95 | $3,019.95 | $3,019.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $18,197.01 / $43,651.58
| Facility | | $3,801.89 | $18,197.01 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $22,387.21 / $40,738.03 / $102,329.30
| Facility | 50 | $22,387.21 | $40,738.03 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.89 / $2,238.72 / $5,370.32
| Facility | | $1,584.89 | $2,238.72 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $2,137.96 / $4,168.69
| Facility | | $1,737.80 | $2,137.96 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $1,258.93 / $12,022.64
| Facility | | $794.33 | $1,258.93 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,964.78 / $10,964.78 / $10,964.78
| Facility | 50 | $10,964.78 | $10,964.78 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $10,000.00 / $20,417.38
| Facility | | $5,888.44 | $10,000.00 | $20,417.38 |