- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $5,623.41 / $15,135.61
| Facility | | $1,778.28 | $5,623.41 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $7,762.47 / $13,182.57 / $14,125.38
| Facility | 50 | $7,762.47 | $13,182.57 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $5,011.87 / $16,218.10
| Facility | | $2,238.72 | $5,011.87 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $13,803.84 / $15,848.93
| Facility | | $7,413.10 | $13,803.84 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $3,162.28 / $26,302.68
| Facility | | $549.54 | $3,162.28 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $4,265.80 / $11,220.18
| Facility | | $2,884.03 | $4,265.80 | $11,220.18 |