- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $3,467.37 / $11,481.54
| Facility | | $602.56 | $3,467.37 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,089.30 / $8,912.51 / $10,000.00
| Facility | 50 | $2,089.30 | $8,912.51 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $12,589.25 / $53,703.18
| Facility | | $1,513.56 | $12,589.25 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $12,022.64 / $22,908.68
| Facility | | $6,165.95 | $12,022.64 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $7,585.78 / $12,022.64
| Facility | | $2,630.27 | $7,585.78 | $12,022.64 |