- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $6,456.54 / $15,488.17
| Facility | | $977.24 | $6,456.54 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $5,248.07 / $7,585.78 / $12,882.50
| Facility | 50 | $5,248.07 | $7,585.78 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $11,220.18 / $26,302.68
| Facility | | $5,011.87 | $11,220.18 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $4,265.80 / $16,595.87
| Facility | | $870.96 | $4,265.80 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $4,168.69 / $50,118.72
| Facility | | $1,047.13 | $4,168.69 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $1,148.15 / $2,187.76
| Facility | | $616.60 | $1,148.15 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $50,118.72 / $75,857.76
| Facility | | $660.69 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,456.54 / $16,982.44
| Facility | | $2,511.89 | $6,456.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $660.69 / $2,187.76
| Facility | | $501.19 | $660.69 | $2,187.76 |