- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $590.79 / $590.79 / $6,659.00
| Facility | | $590.79 | $590.79 | $6,659.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,047.40 / $3,047.40 / $3,047.40
| Facility | 50 | $3,047.40 | $3,047.40 | $3,047.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,008.98 / $14,828.79 / $33,500.32
| Facility | | $3,008.98 | $14,828.79 | $33,500.32 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $21,494.69 / $32,612.14 / $57,182.51
| Facility | 50 | $21,494.69 | $32,612.14 | $57,182.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,492.49 / $2,116.54 / $5,091.62
| Facility | | $1,492.49 | $2,116.54 | $5,091.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,213.29 / $1,935.02 / $4,009.15
| Facility | | $1,213.29 | $1,935.02 | $4,009.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $818.55 / $1,246.83 / $12,002.00
| Facility | | $818.55 | $1,246.83 | $12,002.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $10,954.40 / $10,954.40 / $10,954.40
| Facility | 50 | $10,954.40 | $10,954.40 | $10,954.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,577.00 / $10,743.00 / $12,774.00
| Facility | | $5,577.00 | $10,743.00 | $12,774.00 |